Key result
Relative plasma volume monitoring may improve the classification of long-term dialysis patients into volume-sensitive and -resistant categories, thereby improving hypertension management.
Why the study?
Does relative plasma volume monitoring and excess volume removal improve interdialytic ambulatory blood pressure in long-term dialysis patients?
Does relative plasma volume monitoring and excess volume removal improve interdialytic ambulatory blood pressure in long-term dialysis patients?
Relative plasma volume monitoring may help classify and manage hypertension in long-term dialysis patients by identifying those who are volume-sensitive.
Hypothesis-generating for volume classification in dialysis hypertension; prospective trials needed before clinical adoption.
The measurement and management of volume state among long-term dialysis patients has not received much attention. Recent reports suggest that relative plasma volume monitoring may be useful in identifying patients who have volume excess. Among patients who have evidence of excess volume by relative plasma volume monitoring, excess volume removal leads to improvement in interdialytic ambulatory blood pressure. Implementation of this technique can result in improved classification of patients into volume-sensitive and -resistant categories and therefore improve the management of hypertension.
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Rajiv Agarwal (2010) conducted a review in Hypertension in long-term dialysis patients. Relative plasma volume monitoring was evaluated. Relative plasma volume monitoring may improve the classification of long-term dialysis patients into volume-sensitive and -resistant categories, thereby improving hypertension management.
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