Key result
Management of high blood pressure in dialysis patients centers on the attainment of dry weight, lifestyle modifications, and individualized antihypertensive therapy.
The management of hypertension in dialysis patients centers on achieving dry weight and individualized antihypertensive therapy, given the complex 'inverse epidemiology' relationship between blood pressure and mortality in this population.
Emphasizes dry weight and individualized therapy for dialysis hypertension; leaves open RCTs on optimal targets amid inverse epidemiology.
Dialysis is initiated in a patient with End stage renal disease. The recent guidelines suggest the initiation of dialysis when symptoms and signs of kidney failure are present and not merely a decrease in GFR. The most common complication postdialysis is the occurrence of hypotension. However many dialysis patients are found to be hypertensive. In this article, we mention the cause and pathophysiology of hypertension in dialysis patients and its management.
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Stern et al. (2014) conducted a review in High blood pressure in dialysis patients. Management of high blood pressure in dialysis patients centers on the attainment of dry weight, lifestyle modifications, and individualized antihypertensive therapy.
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