Optimizing hypertension control in hemodialysis patients : a proposed management strategy
Joint Authors
Zamd, Muhammad
Ramadani, Benyounes
Hachim, K.
Ben Ghanem, M. G.
Madkur, Ghislaine
Ben Jelloun, Maryam
Tarrass, Faisal
Adus, Karimah
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 18, Issue 3 (31 Dec. 2007), pp.355-360, 6 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2007-12-31
Country of Publication
Saudi Arabia
No. of Pages
6
Main Subjects
Topics
Abstract EN
Objective : The purpose of the study was to assess the efficiency of a goal-oriented therapeutic strategy in lowering blood pressure and reducing the need for antihypertensive medications in 168 patients undergoing long-term hemodialysis.
Methods : Patients were managed initially by achieving optimal dry weight.
After reduction of the dry weight, patients with uncontrolled arterial hypertension were dialyzed using a 1.25 mmol / L calcium concentration buffer.
Results : The predialysis mean arterial blood pressure (PDBP) was 127.4 / 74.2 mmHg for the total population.
Fifty (29.76 %) of the total study population were hypertensive.
Of them, 88 % (44 patients) were receiving antihypertensive drugs, while the others were not on such medications.
Twenty patients (40 % of the hypertensives) were receiving one antihypertensive drug, 17 (34 %) were receiving two antihypertensive drugs, while 7 patients (14 %) were receiving three or more drugs.
There was a significant increase in the number of patients with good control of PDBP in the second data collection [45 patients (90 %)] compared to the first data collection of 40 patients (80 %).
Similarly, there was a significant reduction in the number of patients with uncontrolled PDBP in the second data collection (5 patients (10 %) compared to the first data collection of 10 patients (20 %).
The average blood pressure in the first data collection was 137.2 / 76.3 and 167.4 / 87.1 mmHg in the controlled and uncontrolled blood pressure groups respectively.
In the second data collection, the average blood pressure was 136.4 / 75.1 and 161.6 / 86.3 mmHg in the controlled and uncontrolled groups respectively.
Conclusion : Therapeutic approach using combination of dry weight reduction and dialysis with low calcium dialysate provides acceptable long-term results in patients with arterial hypertension and reduces the need for antihypertensive medication.
American Psychological Association (APA)
Tarrass, Faisal& Adus, Karimah& Ben Jelloun, Maryam& Zamd, Muhammad& Madkur, Ghislaine& Hachim, K.…[et al.]. 2007. Optimizing hypertension control in hemodialysis patients : a proposed management strategy. Saudi Journal of Kidney Diseases and Transplantation،Vol. 18, no. 3, pp.355-360.
https://search.emarefa.net/detail/BIM-40825
Modern Language Association (MLA)
Tarrass, Faisal…[et al.]. Optimizing hypertension control in hemodialysis patients : a proposed management strategy. Saudi Journal of Kidney Diseases and Transplantation Vol. 18, no. 3 (Dec. 2007), pp.355-360.
https://search.emarefa.net/detail/BIM-40825
American Medical Association (AMA)
Tarrass, Faisal& Adus, Karimah& Ben Jelloun, Maryam& Zamd, Muhammad& Madkur, Ghislaine& Hachim, K.…[et al.]. Optimizing hypertension control in hemodialysis patients : a proposed management strategy. Saudi Journal of Kidney Diseases and Transplantation. 2007. Vol. 18, no. 3, pp.355-360.
https://search.emarefa.net/detail/BIM-40825
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 359-360
Record ID
BIM-40825