Buoncristiani U, Fagugli R, Pinciaroli MR, Kulurianu H, Bova
C
Optimal blood pressure control with daily hemodialysis
XVIth Annual CAPD Conference
Perit Dial Int Suppl 2
(Feb) 16:S99 1996
This is a companion abstract to one describing the effects of daily home
hemodialysis (DHD)on anemia. In this paper the
effects of DHD on blood pressure control are detailed. Thirty four patients
were switched from conventional therapy to DHD.
Of these 20 were classified as hypertensive. Blood pressure in all fell to
the normal range with DHD, and the number of anti-hypertensive meds dropped
from a mean of 1.5 to 0.5 per patient. Combining the hypertensive and non-
hypertensive patients, MAP fell from a mean of 106 to 96 mm Hg with the
switch to DHD.
Comment: These results are consistent with findings of Jonas Bergstrom
and presented at ASN 1995, that there is a strong rebound in blood volume
with intermittent dialysis, and with data of Charra from Tassin, that long
dialysis (3x/week) causes lower blood pressures. It is logical that daily
home hemodialysis should also better maintain euvolemia than intermittent
therapy, and therefore result in better control of blood pressure. (John
T. Daugirdas, M.D., Univ of Illinois at Chicago)
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XVIth Annual CAPD Conference
Basic hemodialysis :
Home hemodialysis
CRF by organ system :
Cardiovascular/Hypertension