Vasopressin and prevention of hypotension during hemodialysis
Joint Authors
Mousavi, Sayyid Sayf Allah Beladi
Tamadon, Muhammad Rida
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 16, Issue 11 (30 Nov. 2014), pp.1-5, 5 p.
Publisher
Publication Date
2014-11-30
Country of Publication
United Arab Emirates
No. of Pages
5
Main Subjects
Topics
Abstract EN
Context : The occurrence of intradialytic hypotension (IDH) during hemodialysis (HD) continues to be a main problem in patients with ESRD (end-stage kidney disease).
It also negatively affects health-related quality of life.
We aimed to determine vasopressin effect in decreasing IDH.
Evidence Acquisition : We reviewed clinical and experimental literature in a variety of sources, including PubMed, Current Content, Scopus, Embase, and Iranmedex regarding the possible effect of vasopressin administration in prevention of hypotension during HD to clarify its mechanism, efficacy, and safety.
Results : Although arginine vasopressin is widely recognized for its anti-diuretic properties, it is also a well-recognized vasoconstrictor.
It has been shown that the vasopressin release (as it would normally be expected) does not increase in the majority of HD patients with recurrent dialysis hypotension.
In addition, it has also been reported that vasopressin secretion (due to the osmotic stimulation) is the most important mechanism in blood pressure control in ESRD patients receiving hypertonic solution for IDH.
Therefore, it is suggested that vasopressin administration may improve hemodynamic stability among ESRD patients during HD.
There are few clinical trials about this issue, suggesting that administration of exogenous vasopressin may be significantly associated with a decreased incidence of IDH as well as cardiovascular stability in ESRD patients in need of volume removal during HD.
Conclusions : Vasopressin insufficiency may have an important role in the pathogenesis of hemodynamic instability during HD and administration of exogenous vasopressin is significantly associated with a lower incidence of IDH.
American Psychological Association (APA)
Mousavi, Sayyid Sayf Allah Beladi& Tamadon, Muhammad Rida. 2014. Vasopressin and prevention of hypotension during hemodialysis. Iranian Red Crescent Medical Journal،Vol. 16, no. 11, pp.1-5.
https://search.emarefa.net/detail/BIM-428002
Modern Language Association (MLA)
Mousavi, Sayyid Sayf Allah Beladi& Tamadon, Muhammad Rida. Vasopressin and prevention of hypotension during hemodialysis. Iranian Red Crescent Medical Journal Vol. 16, no. 11 (Nov. 2014), pp.1-5.
https://search.emarefa.net/detail/BIM-428002
American Medical Association (AMA)
Mousavi, Sayyid Sayf Allah Beladi& Tamadon, Muhammad Rida. Vasopressin and prevention of hypotension during hemodialysis. Iranian Red Crescent Medical Journal. 2014. Vol. 16, no. 11, pp.1-5.
https://search.emarefa.net/detail/BIM-428002
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 4-5
Record ID
BIM-428002