Autor: |
Mogal, Vajed, Gadekar, Kshitija, Kulkarni, Sudhir |
Předmět: |
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Zdroj: |
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2022, Vol. 13 Issue 1, p711-720, 10p |
Abstrakt: |
Hypotension is quite common during hemodialysis & despite significant improvements of hemodialysistechniques in the recent years; the frequency of recurrent episodes intradialytic hypotension has remained unchanged.Intradialytic hypotension (IDH) is a serious complication and a major risk factor of increased mortality during hemodialysis (HD). However, predicting the occurrence of intradialytic blood pressure (BP) fluctuations clinically is difficult. The goal of our study was to assess the prevalence of IDH and to identify patients and treatment factors associated with its presence. This was a prospective study of 200 hemodialysis patients observed over 12 months at the tertiary care centre in western region of Maharashtra, India. Subjects with more than two episodes / month of hypotension on dialysis were diagnosed as having IDH. Intradialytic hypotension was found in 19% of subjects (38 patients). Incorrectly assessed ideal body weight was found to be the commonest cause of intradialytic hypotension. Volume assessment and adjusting the ideal body weight was found to be central to the problem of preventing intradialytic hypotension. This study concludes that intradialytic hypotension is a common phenomenon, even in a tertiary care centre. Preventive strategies should be developed in each unit to decrease the future risk for intradialytic hypotension in specific patients. [ABSTRACT FROM AUTHOR] |
Databáze: |
Complementary Index |
Externí odkaz: |
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