January 1, 2023Electrolytes & Blood PressureOpen Access

Patients with intradialytic hypotension (IDH) exhibited a more substantial systolic blood pressure difference (delta SBP, 36.38 vs. 15.07 mmHg, p=0.0033) and a lower post-dialysis BUN level (12.75 vs. 18.77 mg/dL, p=0.0015) compared to non-IDH patients.

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Why the study?

While blood pressure control is essential in ESKD, overly stringent control can lead to intradialytic hypotension, and whether BP variations during and after hemodialysis correlate with IDH risk was unclear.

Population

28 ESKD patients undergoing hemodialysis

Comparison

Patients with IDH vs non-IDH

Design

Observational study with post-dialysis ambulatory BP monitoring

Authors

HCHyunjeong Cho SKSoon Kil Kwon SLSeung‐Woo Lee

Discussion

Member takes

Overview

BP variation monitoring may aid IDH risk stratification in HD; small observational data leave open need for prospective validation.

Structured PICO

Population

28 end-stage kidney disease (ESKD) patients on hemodialysis, average age 57.4 years, 57.1% with diabetes, 17.9% with coronary artery disease, and 3.6% with cerebrovascular disease.

Outcome

Blood pressure variations during and after hemodialysis and their correlation with intradialytic hypotension (IDH) risksurrogate

Hemodialysis patients show significant post-dialysis blood pressure increases and lack nocturnal dipping, with larger systolic blood pressure variations correlating with intradialytic hypotension risk.

Cite This Study

Cho et al. (2023) studied this question.

synapsesocial.com/papers/6a72eb10430f990cbe1cf342 https://doi.org/10.5049/ebp.2023.21.2.53

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January 1, 2023Electrolytes & Blood PressureOpen Access

Patients with intradialytic hypotension (IDH) exhibited a more substantial systolic blood pressure difference (delta SBP, 36.38 vs. 15.07 mmHg, p=0.0033) and a lower post-dialysis BUN level (12.75 vs. 18.77 mg/dL, p=0.0015) compared to non-IDH patients.

View Full Paper

Ask AI

Bookmark

Why the study?

Population

28 ESKD patients undergoing hemodialysis

Comparison

Patients with IDH vs non-IDH

Design

Observational study with post-dialysis ambulatory BP monitoring

Authors

HCHyunjeong Cho SKSoon Kil Kwon SLSeung‐Woo Lee

Discussion

Member takes

Overview

BP variation monitoring may aid IDH risk stratification in HD; small observational data leave open need for prospective validation.

Structured PICO

Population

28 end-stage kidney disease (ESKD) patients on hemodialysis, average age 57.4 years, 57.1% with diabetes, 17.9% with coronary artery disease, and 3.6% with cerebrovascular disease.

Outcome

Blood pressure variations during and after hemodialysis and their correlation with intradialytic hypotension (IDH) risksurrogate

Cite This Study

Cho et al. (2023) studied this question.

synapsesocial.com/papers/6a72eb10430f990cbe1cf342 https://doi.org/10.5049/ebp.2023.21.2.53

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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