St George Hospital, Renal Department – INTERNAL ONLY Treatment of Chronic Hypertension and Hypertensive Urgency on Haemodialysis
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چکیده
Acute control of blood pressure on haemodialysis (HD) should be differentiated from chronic BP control; Hypertension in HD is multi-factorial; Patients requiring total ultrafiltration volume greater than 2.5 kg may have an elevation in pre-systolic and pre-diastolic BPs; Larger fluid removals of range >10-13ml/hour/kg are associated with increased all cause and cardiovascular mortality; Both pre-dialysis, post-dialysis BP and in between dialysis BPs (by ABPM) are useful in assessing BP control (Conlon, Walshe et al. 1996); The average value of 12 pre-dialysis BP measurements over 1 month has also been shown to be useful method of assessing control ((Zoccali, Mallamaci et al. 1999).
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