Influence of blood pressure variability on the life of arteriovenous fistulae in maintenance hemodialysis patients

2016 ◽  
Vol 62 (2) ◽  
pp. 129-137 ◽  
Author(s):  
Yue Cheng ◽  
Fan Zhang ◽  
Jun Zhu ◽  
Tao Wang ◽  
Meng Wei ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Variability ◽  
Hemodialysis Patients ◽  
Maintenance Hemodialysis ◽  
Arteriovenous Fistulae ◽  
Maintenance Hemodialysis Patients

scholarly journals Interdialytic blood pressure variability and the risk of stroke in maintenance hemodialysis patients

Medicine ◽  
2020 ◽  
Vol 99 (29) ◽  
pp. e21232
Author(s):  
Yue Cheng ◽  
Yunming Li ◽  
Fan Zhang ◽  
Jun Zhu ◽  
Tao Wang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Variability ◽  
Hemodialysis Patients ◽  
Maintenance Hemodialysis ◽  
Maintenance Hemodialysis Patients

Blood Pressure of Maintenance Hemodialysis Patients in the Dalmatian Region of Croatia: Differences between Hospital and Out-of-Hospital Dialysis Centers

2017 ◽  
Vol 44 (2) ◽  
pp. 110-121
Author(s):  
Marijana Gulin ◽  
Dragan Klarić ◽  
Mario Ilić ◽  
Josipa Radić ◽  
Vedran Kovačić ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Weight Gain ◽  
Beta Blockers ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Maintenance Hemodialysis ◽  
Sectional Study ◽  
Cross Sectional ◽  
Interdialytic Weight Gain ◽  
Maintenance Hemodialysis Patients

Aims: This study was aimed at comparing the incidence of arterial hypertension and blood pressure (BP) variance in hospital and out-of-hospital hemodialysis (HD) patients during HD sessions. Methods: A cross-sectional study was conducted for 1 week at all the HD centers in Dalmatia, Croatia. The pre-, intra-, and post-dialysis BP values were collected for 3 consecutive HD sessions per patient. Results: Of the 399 subjects, 73.9% were hypertensives, who showed higher interdialytic weight gain compared to the normotensives (2.58 vs. 2.40). Hospital and out-of-hospital HD patients received identical antihypertensive therapies, except that beta blockers were more frequently administered to out-of-hospital HD patients. Higher pre-, intra-, and post-dialysis BP values were recorded in patients at out-of-hospital HD centers. Conclusion: The differences in BP variability and antihypertensive therapies administered to hospital HD patients as compared to out-of-hospital HD patients may reflect differing approaches by the nephrologists at these centers.

Visit-to-visit systolic blood pressure variability associates with vascular thrombosis in hemodialysis patients

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
C.C Wu ◽  
P.S Lin ◽  
M.Y Hsieh ◽  
T.Y Chen ◽  
T.T Lin ◽  
...  
Keyword(s):  
Blood Pressure ◽  
General Population ◽  
Vascular Access ◽  
Blood Pressure Variability ◽  
Hemodialysis Patients ◽  
Maintenance Hemodialysis ◽  
Funding Source ◽  
Vascular Events ◽  
Vascular Thrombosis ◽  
Co Morbidity

Abstract Background Blood pressure variability (BPV) is an independent risk factor for cardiovascular events and death in general population. Hemodialysis patients have higher BPV and higher vascular events than general population. However, the impact of BPV on vascular events of hemodialysis patients is not clear. Purpose To determine the association of BPV with vascular outcomes in patients on maintenance hemodialysis. Method In this prospective multi-center study, we enrolled 927 maintenance hemodialysis patients from Jan, 2017 to Dec, 2017. We used the coefficient of variation (CV) and the variance independent of mean (VIM) of predialysis systolic blood pressure (SBP) derived from the first 3 months (36 dialysis sessions) after enrollment as the metrics of BPV. Patients were prospectively followed at 3-month interval. Outcomes included death, systemic vascular thrombosis (nonfatal myocardial infarction, ischemic stroke, and acute limb ischemia), and dialysis vascular access thrombosis. Results In all, 707 subjects with at least 20 measurements were included in the analysis. Patients' mean age was 66 years and 50% of patients were male. Baseline factors associated higher BPV included diabetes, high co-morbidity scores, low albumin, high systolic and diastolic blood pressure. The mean pre-dialysis SBP CV was 10.9% and VIM was 28.9%. The median follow-up duration was 2.5 years, during which 103 deaths, 81 systemic vascular thrombosis, and 155 dialysis access thrombosis occurred. In unadjusted model, we found that the highest BPV tertile had a 52% increased risk of vascular thrombosis than the lowest BPV tertile (HR=1.52, 95% CI 1.23–1.86, P<0.001). After multivariable adjustment (including age, diabetes, co-morbidity score, albumin, baseline systolic and diastolic BP), this association remained statistically significant (HR=1.47, 95% CI=1.18–1.84, P=0.001). Systolic BPV was associated with either systemic vascular thrombosis (HR=1.44, 95% CI=1.08–1.93, P=0.01) or dialysis vascular access thrombosis (HR=1.55, 95% CI=1.16–1.82, P=0.001). Conclusion In the cohort of patients on maintenance hemodialysis, high pre-dialysis systolic BPV was associated a higher risk of vascular thrombosis events, both for systemic vascular thrombosis and dialysis vascular access thrombosis. Funding Acknowledgement Type of funding source: Public hospital(s). Main funding source(s): National Taiwan University Hsinchu Branch

Predialysis blood pressure and mortality risk in a national sample of maintenance hemodialysis patients

1999 ◽  
Vol 33 (3) ◽  
pp. 507-517 ◽  
Author(s):  
Friedrich K. Port ◽  
Tempie E. Hulbert-Shearon ◽  
Robert A. Wolfe ◽  
Wendy E. Bloembergen ◽  
Thomas A. Golper ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Mortality Risk ◽  
National Sample ◽  
Hemodialysis Patients ◽  
Maintenance Hemodialysis ◽  
Maintenance Hemodialysis Patients
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