Management of Patient Care in Hemodialysis While Focusing on Cardiovascular Disease Events and the Atypical Role of Hyper- andor Hypotension: A Systematic Review
Joint Authors
Khan, Amjad
Khan, Amer Hayat
Adnan, Azreen Syazril
Khan, Irfanullah
Syed Suleiman, Syed Azhar
Gan, Siew Hua
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-10-19
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Hemodialysis related hemodynamic instability is a major but an underestimated issue.
Moreover, cardiovascular events are the leading cause of morbidity and mortality associated with blood pressure in hemodialysis patients.
However, there have been many controversies regarding the role and management of hyper- and/or hypotension during hemodialysis that needs to be addressed.
Objective.
To critically review the available published data on the atypical role of hyper- and/or hypotension in cardiovascular associated morbidity and mortality in patients on hemodialysis and to understand the discrepancies in this context.
Methods.
A comprehensive search of literature employing electronic as well as manual sources and screening 2783 papers published between Jan 1980 and Oct 2015 was conducted to collect, identify, and analyze relevant information through peer-reviewed research articles, systematic reviews, and other published works.
The cardiovascular events, including accelerated atherosclerotic cardiovascular disease (ASCVD), stroke, heart failure, myocardial infarction, myocardial ischemia, and stress induced myocardial dysfunction, leading to death were considered relevant.
Results.
A total of 23 published articles met the inclusion criteria and were included for in-depth review and analysis to finalize a comprehensive systematic review article.
All the studies showed a significant association between the blood pressure and cardiovascular disease events in hemodialysis patients.
Conclusions.
Both intradialytic hypertension/hypotension episodes are major risk factors for cardiovascular mortality with a high percentage of probable causality; however, clinicians are faced with a dilemma on how to evaluate blood pressure and treat this condition.
American Psychological Association (APA)
Khan, Amjad& Khan, Amer Hayat& Adnan, Azreen Syazril& Syed Suleiman, Syed Azhar& Gan, Siew Hua& Khan, Irfanullah. 2016. Management of Patient Care in Hemodialysis While Focusing on Cardiovascular Disease Events and the Atypical Role of Hyper- andor Hypotension: A Systematic Review. BioMed Research International،Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1099353
Modern Language Association (MLA)
Khan, Amjad…[et al.]. Management of Patient Care in Hemodialysis While Focusing on Cardiovascular Disease Events and the Atypical Role of Hyper- andor Hypotension: A Systematic Review. BioMed Research International No. 2016 (2016), pp.1-10.
https://search.emarefa.net/detail/BIM-1099353
American Medical Association (AMA)
Khan, Amjad& Khan, Amer Hayat& Adnan, Azreen Syazril& Syed Suleiman, Syed Azhar& Gan, Siew Hua& Khan, Irfanullah. Management of Patient Care in Hemodialysis While Focusing on Cardiovascular Disease Events and the Atypical Role of Hyper- andor Hypotension: A Systematic Review. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1099353
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099353