The Japanese Journal of Clinical Dialysis Vol.17 No.10(2-2)

Theme Management of Cardio-vascular Complication in Hemodialysis Patient
Title Management and treatment for the hypertension in the dialysis patients
Publish Date 2001/09
Author Eiji Kusano Division of Nephrology, Internal Medicine, Jichi Medical School
[ Summary ] Management and treatment for the hypertension are very important for dialysispatients, since the hypertension is closely related to the occurance of cardiovascular complications and death rates. Although short time dialysis was very popular in USA, its use presented problems in controlling hypertension. Recently, long term dialysis has been shown to be effective for controlling hypertension and making improvements in survivalrates. Concerning the relationship between control of hypertension and death rates by cardiovascular complications, both excessively high or low blood pressure, after dialysis sessions seems to be undesirable. The accumulated evidence seems to support the interrelation of dry weight figures, use of antihypertensive drugs and death rates, due to cardiovascular complications. In diabetic dialysis paptients, we should pay attention to complications related to diabetes mellitus for the administaration of antihypertensive drugs.
back