Intradialytic Hypotension: Beyond Hemodynamics
نویسندگان
چکیده
منابع مشابه
Intradialytic hypotension strikes again.
Intradialytic hypotension (IDH) has plagued hemodialysis (HD) patients and their caregivers since the early days of renal replacement therapy. Its persistence in the current era is evident from the results of the 1426-patient Hemodialysis (HEMO) study in this issue of JASN in which a median of 12.5% of dialysis sessions were complicated by IDH requiring saline infusion, lowering the ultrafiltra...
متن کاملIntradialytic hypotension and vascular access thrombosis.
Identifying potential modifiable risk factors to reduce the incidence of vascular access thrombosis in hemodialysis could reduce considerable morbidity and health care costs. We analyzed data from a subset of 1426 HEMO study subjects to determine whether more frequent intradialytic hypotension and/or lower predialysis systolic BP were associated with higher rates of vascular access thrombosis. ...
متن کاملUse of fludrocortisone for intradialytic hypotension
Intradialytic hypotension during dialysis adversely affects a patient's prognosis and increases mortality. We report a case in which intradialytic hypotension that persisted after the administration of midodrine was relieved after the use of fludrocortisone. Administration of 0.2 mg of fludrocortisone occurred 30 minutes before dialysis. We compared 45 sessions of dialysis without fludrocortiso...
متن کاملIntradialytic hypotension and risk of cardiovascular disease.
BACKGROUND AND OBJECTIVES Patients undergoing hemodialysis have an elevated risk of cardiovascular disease-related morbidity and mortality compared with the general population. Intradialytic hypotension (IDH) is estimated to occur during 20%-30% of hemodialysis sessions. To date, no large studies have examined whether IDH is associated with cardiovascular outcomes. This study determined the pre...
متن کاملEffect of Dialysis Day on Intradialytic Hypotension Risk.
BACKGROUND/AIMS Intradialytic hypotension (IDH) is a serious and frequent complication of hemodialysis (HD). Thus far, data are scarcely available to assess the impact of first versus subsequent HD sessions of the week in IDH. Therefore, the purpose of this work was to evaluate IDH risk in patients on thrice-weekly HD. METHODS We conducted an analysis of all blood pressure (BP) measurements o...
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ژورنال
عنوان ژورنال: Physiological Research
سال: 2019
ISSN: 1802-9973,0862-8408
DOI: 10.33549/physiolres.934080