Levocarnitine Decreases Intradialytic Hypotension Episodes: A Randomized Controlled Trial

Autor: Daniel Alberto Gallegos-Arguijo, Juan Francisco Ortiz-Treviño, Héctor Raúl Ibarra-Sifuentes, Concepción Sánchez-Martínez, César Pezina-Cantú, Rolando Jacob Martínez-Granados, Sergio A. Castillo-Torres, Jesus E. Cuellar-Monterrubio, Alexandro Atilano-Díaz, Edgar de Jesús Martínez-Guevara, Guillermo Delgado-García, Angel N. Del Cueto-Aguilera, José Guadalupe Martínez-Jiménez, Jesús Cruz-Valdez, Raymundo Vera-Pineda
Rok vydání: 2017
Předmět:
Zdroj: Therapeutic Apheresis and Dialysis. 21:459-464
ISSN: 1744-9979
DOI: 10.1111/1744-9987.12553
Popis: Intradialytic hypotension is common complication in stage 5 chronic kidney disease patients on hemodialysis. Incidence ranges from 15 to 30%. These patients have levocarnitine deficiency. A randomized, placebo-controlled quadruple-blinded trial was designed to demonstrate the levocarnitine efficiency on intradialytic hypotension prevention. Patients were randomized into four groups, to receive levocarnitine or placebo. During the intervention period, levocarnitine and placebo was administered 0 and 30 min before each hemodialysis session, respectively. During the trial, 33 patients received 1188 hemodialysis sessions. We identified 239 (21.3%) intradialytic hypotension episodes. The intradialytic hypotension episodes were less frequent in the levocarnitine group (9.3%, 60 IH events) (P
Databáze: OpenAIRE