2011
DOI: 10.1053/j.ajkd.2011.01.030
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Automatic Adaptive System Dialysis for Hemodialysis-Associated Hypotension and Intolerance: A Noncontrolled Multicenter Trial

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Cited by 35 publications
(30 citation statements)
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“…This may underpin the heightened predisposition to falls [38,39], cardiac events, cerebral dysfunction and stroke [40,41], malnutrition-inflammation syndrome [42], and loss of residual renal function [43] that is seen in older HD patients. Tailored dialysis prescription using an appropriate target dry weight aided by bioimpedance analysis [44] and the use of judicious, slower, feedback-controlled ultrafiltration with lowered dialysate sodium concentrations (<140 mmol/l) [45] can help maintain intradialytic haemodynamic stability in conventional HD schedules. Cooled dialysate, where tolerated, can promote blood pressure stability [46], and more frequent HD regimes (e.g.…”
Section: Haemodialysismentioning
confidence: 99%
“…This may underpin the heightened predisposition to falls [38,39], cardiac events, cerebral dysfunction and stroke [40,41], malnutrition-inflammation syndrome [42], and loss of residual renal function [43] that is seen in older HD patients. Tailored dialysis prescription using an appropriate target dry weight aided by bioimpedance analysis [44] and the use of judicious, slower, feedback-controlled ultrafiltration with lowered dialysate sodium concentrations (<140 mmol/l) [45] can help maintain intradialytic haemodynamic stability in conventional HD schedules. Cooled dialysate, where tolerated, can promote blood pressure stability [46], and more frequent HD regimes (e.g.…”
Section: Haemodialysismentioning
confidence: 99%
“…Hypothyroidism may affect renal function through direct (glomerular and tubular changes) and indirect (hemodynamic changes) mechanisms (27). In spite of the continuous improvement of dialysis technology and pharmacological treatments for ESRD, the impact of thyroid abnormalities on cardiovascular morbidity and mortality in renal patients has progressively emerged over the past decade (8,28). The presence of hypothyroidism results in increased cardiovascular risk in patients with ESRD on a kidney transplant waiting list, a population with several cardiovascular risk factors (8,26).…”
Section: Discussionmentioning
confidence: 99%
“…Além disso, a diminuição da osmolaridade do plasma a partir da remoção rápida de solutos também contribui para o problema, resultando em diminuição da pressão osmótica. Isso acarreta uma diminuição tanto no reabastecimento de fluídos do espaço extravascular para o intravascular, como provoca um deslocamento de fluídos do meio extracelular para o intracelular (20).…”
Section: Discussionunclassified