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December 4, 2017Clinical Medicine (Russian Journal)Open Access

The effect of hemodialys on endothelial dysfunction in patients with end-stage renal disease

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Key result

A single hemodialysis session is linked to an ~18% decrease in NO2- and increased malondialdehyde.

  • 18.4% decrease
  • P<0.001
  • n=20

Why the study?

Does a single hemodialysis session affect endothelial dysfunction and oxidative stress in patients with end-stage renal disease?

Population

20 chronic hemodialysis patients with end-stage renal disease. 65% had chronic glomerulonephritis.

Comparison

A single hemodialysis (HD) session vs Baseline (before the hemodialysis session)

Design

Cohort

Follow-up

Single hemodialysis session

Authors

ASAleksandr B. SuslaIMIhor MysulaАГА. І. ГоженкоMinistry of Health

Discussion

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Implication

Acute oxidative changes during hemodialysis may signal endothelial risk in ESRD; leaves open long-term vascular implications.

Study Design

Type

Observational (n=20)

Structured PICO

Does a single hemodialysis session affect endothelial dysfunction and oxidative stress in patients with end-stage renal disease?

P
Population
20 chronic hemodialysis patients with end-stage renal disease (mean age 41 years, 55% female) evaluated before and after a single hemodialysis session.
E
Exposure
A single hemodialysis (HD) session
C
Comparator
Baseline (before the hemodialysis session)
O
Outcome
Contents of nitric oxide (NO) stable metabolites (NO2- and NO3-) and circulating endothelial cells (CECs) numbersurrogate

Main Result

Effect estimate: 18.4% decrease

p-value: p=<0.001

A single hemodialysis session in ESRD patients acutely increases oxidative stress and decreases nitric oxide metabolites, indicating potential endothelial damage.

Cite This Study

Susla et al. (2017) conducted an observational in End-stage renal disease (n=20). Single hemodialysis session vs. Before hemodialysis session (baseline) was evaluated on Plasma content of nitrite (NO2-) (18.4% decrease, p=<0.001). A single hemodialysis session in patients with end-stage renal disease significantly decreased NO2- content by 18.4% (p<0.001) and increased malondialdehyde by 10.5% (p=0.007).

synapsesocial.com/papers/6aa92c9a6db186eb9162e501https://doi.org/10.18821/0023-2149-2017-95-10-935-939
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Also Consider

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

  1. 1Peripheral Vascular Dysfunction in Chronic Kidney Disease2011 · 77 citations
  2. 2Improvement of endothelial nitric oxide synthase activity retards the progression of diabetic nephropathy in db/db mice2012 · 74 citations
  3. 3Circulating Endothelial Cells and Circulating Endothelial Progenitors in Kidney Disease – Victims, Witnesses, or Accomplices?2008 · 5 citations
  4. 4Acute effects of hemodialysis on oxidative stress parameters in chronic uremic patients: Comparison of two dialysis membranes2010 · 42 citations
  5. 5Nitric oxide production and blood pressure reduction during haemodialysis2014 · 11 citations