How should we manage adverse intradialytic blood pressure changes?

Advances in Chronic Kidney Disease
Sergio F F SantosMark A Perazella

Abstract

Variations in intradialytic blood pressure (BP) are a common and predictable occurrence in ESRD patients. These are caused by a decrease in blood volume provoked by ultrafiltration, lack of normal compensatory responses to fluid removal, underlying cardiac disease, and electrolyte changes that may adversely affect cardiovascular function. Intradialytic hypotension is the most frequent complication of the hemodialysis (HD) procedure and is fundamentally a consequence of an ultrafiltration rate that surpasses mechanisms activated to avert a decline in BP. Intradialytic hypertension is a less well-understood problem that has been recently associated with increased mortality. Fundamental patient characteristics and components of the HD procedure are involved in the pathophysiology of intradialytic hypotension and intradialytic hypertension. Correction of patient factors, modulation of HD prescription, and management of pharmacologic agents are the strategies to deal with adverse intradialytic BP changes.

References

Feb 1, 1991·Kidney International·J T Daugirdas
Jul 1, 1988·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·R A ShermanR P Cody
Feb 1, 1985·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·R A ShermanR P Eisinger
Jan 1, 1996·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·P BrunetY Berland
Jul 21, 1998·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·F M van der SandeK M Leunissen
Aug 11, 2000·Kidney International. Supplement·M J Flanigan
Jul 28, 2001·Kidney International·J P KoomanK M Leunissen
Jul 31, 2001·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·C R Tomson
Jul 31, 2001·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·M SatoY Taguma
Oct 17, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·M A Perazella
Feb 19, 2002·Kidney International·Dominic S C RajRichard A Robbins
Jul 31, 2002·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Quirino MaggioreUNKNOWN Study Group of Thermal Balance and Vascular Stability
Jul 31, 2002·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Joon Ho SongMoon-Jae Kim
Nov 13, 2002·Kidney International·Thompson G Robinson, Susan J Carr
Nov 8, 2003·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·András TislérIstván Kiss
Mar 12, 2004·Nephrology·Ursula C BrewsterMark A Perazella
Jul 29, 2004·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Suma PrakashAndrew A House
Jun 3, 2005·Journal of the American Society of Nephrology : JASN·Donal N ReddanWilliam F Owen
Aug 18, 2005·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Judith J DasselaarCasper F M Franssen
Jan 6, 2006·Kidney International·E ImaiY Tsubakihara
Mar 23, 2006·Seminars in Dialysis·Joline ChenMark J Sarnak
Sep 28, 2006·Kidney International·S van der ZeeJ A Oliver
Aug 21, 2007·Clinical Journal of the American Society of Nephrology : CJASN·Rajiv AgarwalCarmine Zoccali
Aug 21, 2007·Clinical Journal of the American Society of Nephrology : CJASN·Judith J DasselaarCasper F M Franssen
Jan 18, 2008·Clinical Journal of the American Society of Nephrology : CJASN·Sergio F F Santos, Aldo J Peixoto
Feb 8, 2008·Clinical Journal of the American Society of Nephrology : CJASN·Mira RhoUrsula C Brewster
Jun 20, 2008·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Kurakazu ShimizuTeizo Sanjo
Jun 25, 2008·Seminars in Dialysis·Robert P PaulyChristopher T Chan
Aug 19, 2008·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Katherine E LynchSteven M Brunelli
Dec 19, 2008·Hemodialysis International·Jochen RaimannPeter Kotanko
May 13, 2009·Hemodialysis International·Lindsay J ChestertonChris W McIntyre
Aug 1, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Jula K InrigLynda A Szczech
Oct 27, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Jula K Inrig
Nov 6, 2009·Hemodialysis International·Lindsay J ChestertonChris W McIntyre
Jan 20, 2010·Hypertension·Rajiv Agarwal
Apr 20, 2010·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Rajiv Agarwal, Robert P Light
Sep 10, 2010·Current Opinion in Nephrology and Hypertension·Aldo J Peixoto, Sergio F F Santos

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Citations

Apr 5, 2016·Computational and Mathematical Methods in Medicine·Sabina TangaroRoberto Bellotti
Oct 29, 2014·Seminars in Dialysis·Shih-Han S HuangChris W McIntyre
Apr 27, 2016·Seminars in Dialysis·Namrata Krishnan, Aldo J Peixoto
Jan 26, 2017·Journal of Renal Care·Ulrich SteinwandelJohan Rosman
Feb 16, 2018·Journal of Clinical Nursing·Ulrich SteinwandelJohan Rosman
Mar 6, 2019·Seminars in Dialysis·Katherine M WangTara I Chang
Jan 5, 2014·Clinical Journal of the American Society of Nephrology : CJASN·Robert F Reilly
Oct 19, 2019·BMC Nephrology·Damien AshbyMartin Wilkie
Dec 8, 2017·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Hongqi RenZhihong Liu
Jul 15, 2017·Seminars in Dialysis·Wael F Hussein, Brigitte Schiller
Jun 29, 2021·Hemodialysis International·Marta Álvarez-NadalMilagros Fernández-Lucas

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