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November 1, 2008Peritoneal Dialysis International

Peripheral Resistance Modulates the Response to Volume Overload in Peritoneal Dialysis Patients

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Key result

Among 22 peritoneal dialysis patients, paradoxical changes between blood pressure and fluid volume (n=10) were driven by significant decreases in total peripheral resistance.

Population

22 prevalent peritoneal dialysis patients exhibiting significant changes in blood pressure and extracellular…

Design

Cohort

Follow-up

2 months

Authors

JTJun-Ping TianCapital Medical UniversityFDFenghe DuCapital Medical UniversityLCLi-Tao ChengPeking University

Discussion

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Implication

Hypothesis-generating for TPR as BP-volume mediator in PD; prospective trials needed before clinical adoption.

Study Design

Type

Cohort (n=22)

Multicenter

No

Structured PICO

P
Population
22 prevalent peritoneal dialysis patients (mean age 59 years, 40.9% female) with significant changes in blood pressure and extracellular water followed for 2 months.
O
Outcome
Changes in blood pressure, extracellular water, cardiac output, and total peripheral resistancesurrogate

Total peripheral resistance is a key determinant of the blood pressure response to volume overload in peritoneal dialysis patients.

Cite This Study

Tian et al. (2008) conducted a cohort in peritoneal dialysis (n=22). Paradoxical change between blood pressure and extracellular water vs. Parallel change between blood pressure and extracellular water was evaluated on Change in cardiac output and total peripheral resistance. Among 22 peritoneal dialysis patients, paradoxical changes between blood pressure and fluid volume (n=10) were driven by significant decreases in total peripheral resistance.

synapsesocial.com/papers/6a9dde9863211a357590cdddhttps://doi.org/10.1177/089686080802800610
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Also Consider

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

  1. 1Fluid state and blood pressure control in patients treated with long and short haemodialysis1999 · 198 citations
  2. 2Cardiovascular Disease in Peritoneal Dialysis1996 · 25 citations
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  4. 4Fluid Status, Blood Pressure, and Cardiovascular Abnormalities in Patients on Peritoneal Dialysis2002 · 169 citations
  5. 5Comparison of peritoneal equilibrium test with icodextrin and 2.5% glucose dialysis solutions2006 · 4 citations