Impact of intradialytic blood pressure changes on cardiovascular outcomes is independent of the volume status of maintenance hemodialysis patients

Shin, Jungho; Yeo, Seongyup; Hong, Jun Young; Hwang, Jin Ho; Kim, Su Hyun

doi:10.1016/j.jash.2018.06.011

Cited by 3 publications

(3 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our previous study showed that patients with a considerable decrease in systolic BP during dialysis had a similar volume status and prescribed ultrafiltration rates to those with normal BP patterns. 26 Thus, an investigation of other causes, such as autonomic dysfunction or cardiovascular abnormalities, is needed to understand the pathophysiology of intradialytic hypotension. 2 On the other hand, intradialytic hypertension is associated with volume overload and other causal factors such as endothelial dysfunction.…”

Section: Figmentioning

confidence: 99%

“…2 On the other hand, intradialytic hypertension is associated with volume overload and other causal factors such as endothelial dysfunction. 2,26,27 Vascular calcification may be a predisposing factor for intradialytic BP ab- normalities because of its role in cardiovascular events and mortality. [5][6][7] Previous studies on Korean patients with ESRD receiving hemodialysis found a relationship between vascular calcification and intradialytic hypotension, 8,9 which was in contrast to our study's findings.…”

Section: Figmentioning

confidence: 99%

See 1 more Smart Citation

Impacts of Coronary Artery Calcification on Intradialytic Blood Pressure Patterns in Patients Receiving Maintenance Hemodialysis

et al. 2020

Self Cite

View full text Add to dashboard Cite

Intradialytic blood pressure abnormalities are associated with adverse outcomes in patients with end-stage renal disease on dialysis. Vascular calcification is a common complicating feature, but whether this complication results in intradialytic blood pressure abnormalities remains uncertain. Therefore, this study investigated the relationship between coronary artery calcium score and intradialytic blood pressure abnormalities in patients with end-stage renal disease on maintenance hemodialysis. Thirty-six patients who received nongated chest computed tomography scans were included. Intradialytic hypotension was defined as a minimum intradialytic systolic blood pressure of <100 mmHg or a pre-dialysis blood pressureminimum intradialytic systolic blood pressure >30 mmHg. Intradialytic hypertension was defined as >10 mmHg increase in systolic blood pressure (pre-to post-dialysis). Patients were classified as 22 (61.1%) with coronary artery calcium score <400 and 14 (38.9%) with coronary artery calcium score ≥400. Median systolic and diastolic blood pressures were equivalent, but median pulse pressure was higher in patients with coronary artery calcium score ≥400 than in those with scores <400. Coronary artery calcium score was comparable according to both intradialytic hypotension and hypertension, and had no correlation with systolic blood pressure fall and nadir systolic blood pressure. Coronary artery calcium score predicted the occurrence of cardiovascular events and all-cause mortality (hazard ratio 1.001 and 1.001; p=0.058 and 0.010). Coronary vascular calcification could be irrelevant to intradialytic blood pressure abnormalities in patients with end-stage renal disease on dialysis.

show abstract

Section: Figmentioning

confidence: 99%

Section: Figmentioning

confidence: 99%

Impacts of Coronary Artery Calcification on Intradialytic Blood Pressure Patterns in Patients Receiving Maintenance Hemodialysis

et al. 2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…One of the essential intradialytic complications to evaluate is cardiovascular problems because it causes an increase in morbidity and mortality in CKD patients undergoing routine haemodialysis (Shin, Yeo, Hong, Hwang, & Kim, 2018). Cardiovascular complications can include blood pressure and pulse that cannot be controlled.…”

Section: Introductionmentioning

confidence: 99%

The Comparison of Progressive Muscle Relaxation Frequency on Anxiety, Blood Pressure, and Pulse of Haemodialysis Patients

Kusnanto¹,

Murtadho²,

Herawati³

et al. 2019

J. Ners

View full text Add to dashboard Cite

Introduction: Haemodialysis is one of the kidney replacements therapies, but, as it cannot wholly replace kidney function, it still causes complications such as increased blood pressure and pulse which can lead to anxiety for the patient. The purpose of this study was to explain the effect of Progressive Muscle Relaxation (PMR) on anxiety, blood pressure and pulse in haemodialysis patients.Methods: The study design was a true pre-post-test control group design experiment. The total sample was 105 haemodialysis patients taken by purposive sampling technique and divided into two intervention groups and one control group. The independent variable was PMR, and the dependent variables were anxiety, blood pressure and pulse. Data were obtained using a questionnaire and analysed using the Kruskal Wallis Test and Mann-Whitney U test with a significance level <0.05.Results: The results of the PMR two times per week group analysis for one month showed a significant influence on anxiety (p=0.000), blood pressure (p=0.000), and pulse rate (p=0.000). Mann-Whitney U Test Results showed a significant effect on anxiety (p=0.004), blood pressure (p=0.000), and pulse (p=0.000).Conclusion: Haemodialysis patients who performed PMR interventions showed a promising outcome on a decrease in anxiety, blood pressure and pulse. The regular application of PMR interventions can control vital signs in patients undergoing haemodialysis

show abstract

Interdialytic weight gain levels and blood pressure changes during fluid withdrawal in hemodialysis patients

Ramadhan

Herawati

Adam

et al. 2023

J. Public Health Afr.

View full text Add to dashboard Cite

Introduction: interdialytic weight gains (IDWG) are a secondary impact of excessive fluid and/or food intake. In addition, IDWG is common in hemodialysis patients due to renal excretion dysfunction, which impacts fluid buildup. Interdialytic Weight Gain (IDWG) is a secondary impact of excessive fluid and/or food intake and is common in hemodialysis patients due to renal excretion dysfunction. If the patient has severe IDWG, it will have an impact that fluid withdrawal will be increased. This increases the risk of complications during fluid withdrawal on hemodialysis. Objective: to identify the relationship of IDWG levels with changes in blood pressure during fluid withdrawal in hemodialysis patients. Materials and Methods: this was a descriptive-analytic study in which 90 patients undergoing HD were recruited using consecutive sampling. Respondents are free to get involved and withdraw from research and respondents who are involved in research are given rewards from researchers. Result: the study found a relationship between IDWG and blood pressure changes during fluid withdrawal during the 1st hour (P value < α; α = 0.05). Discussion: blood pressure changes during hemodialysis primarily increased blood pressure influenced by some factors. The factors are IDWG levels, UF volume, stimulation of the Renin-Angiotensin-Aldosterone System, antihypertensive therapy, and history of cardiovascular disease. The limitation of this study is that blood pressure measurements on some respondents were not carried out on time, because respondents sometimes fell asleep. Conclusion: based on this study, IDWG is related to changes in blood pressure at the 1st hour of fluid withdrawal.

show abstract

Impact of intradialytic blood pressure changes on cardiovascular outcomes is independent of the volume status of maintenance hemodialysis patients

Cited by 3 publications

References 49 publications

Impacts of Coronary Artery Calcification on Intradialytic Blood Pressure Patterns in Patients Receiving Maintenance Hemodialysis

Impacts of Coronary Artery Calcification on Intradialytic Blood Pressure Patterns in Patients Receiving Maintenance Hemodialysis

The Comparison of Progressive Muscle Relaxation Frequency on Anxiety, Blood Pressure, and Pulse of Haemodialysis Patients

Interdialytic weight gain levels and blood pressure changes during fluid withdrawal in hemodialysis patients

Contact Info

Product

Resources

About