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September 1, 1996ASAIO Journal

Increased Nitric Oxide Production in Hypotensive Hemodialysis Patients

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Key result

Chronic hypotension during hemodialysis is linked to ~99% higher plasma nitrite and nitrate levels.

  • P<0.05
  • n=25

Why the study?

A subset of long-term hemodialysis patients have sustained hypotension, and the role of nitric oxide in this condition was unclear.

Are plasma levels of nitric oxide metabolites elevated in hemodialysis patients with sustained hypotension compared to normotensive controls?

Comparison

Hypotensive vs normotensive patients on hemodialysis

Design

Case-control study

Authors

SLShih‐Hua LinTri-Service General HospitalPCPauling ChuTri-Service General HospitalFYFu-Chiu Yu

Discussion

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Implication

May warrant NO pathway evaluation in hypotensive hemodialysis; leaves open causal role and therapeutic utility.

Study Design

Type

Case-Control (n=25)

Structured PICO

Are plasma levels of nitric oxide metabolites elevated in hemodialysis patients with sustained hypotension compared to normotensive controls?

P
Population
25 patients on long-term hemodialysis (10 with sustained hypotension and 15 age- and gender-matched normotensive controls) without diabetes, cirrhosis, heart failure, or infection.
O
Outcome
Plasma levels of nitrite (NO2-) and nitrate (NO3-)surrogate

Main Result

Absolute Event Rate: 72.49% vs 36.42%

p-value: p=< 0.05

Enhanced nitric oxide production may contribute to chronic hypotension in a subset of patients on long-term hemodialysis.

Cite This Study

Lin et al. (1996) conducted a case-control in Long-term hemodialysis (n=25). Sustained hypotension vs. Normotension was evaluated on Plasma levels of nitrite and nitrate (p=< 0.05). Chronic hypotensive patients on hemodialysis had significantly higher plasma nitrite and nitrate levels compared to normotensive controls (72.49 vs 36.42 mumol/L, p < 0.05).

synapsesocial.com/papers/6aabba250f03adf7d8ca2ff2https://doi.org/10.1097/00002480-199609000-00121
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Also Consider

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

  1. 1Role of nitric oxide in haemodialysis hypotension2000 · 13 citations
  2. 2Basic Science and Dialysis: Nitric Oxide and Hemodialysis2004 · 32 citations
  3. 3Generation of Nitrate During Dialysis as a Measure of Nitric Oxide Synthesis1997 · 11 citations
  4. 4Implications for the role of endogenous nitric oxide inhibitors in hemodialysis hypotension2001 · 2 citations
  5. 5Evidence In Vivo Showing Increase of Baseline Nitric Oxide Generation and Impairment of Endothelium-Dependent Vasodilation in Normotensive Patients on Chronic Hemodialysis2000 · 67 citations