| Theme |
Diagnostic and Therapeutic Guidelines in End-stage Renal Failure |
| Title |
Abnormalities in blood pressure regulation in chronic hemodialysis patients |
| Author |
Kunitoshi Iseki |
Dialysis Unit, University Hospital of The Ryukyus |
| [ Summary ] |
Hypertension is common in chronic hemodialysis patients. According to the guidelines obtained in the general population, the target level of blood pressure should be <130/80 mmHg and patients may need more than two drugs. The Japanese Society for Dialysis Therapy has published the rate of use of antihypertensives as being 62.2% in men and 56.0% in women, and the rate for hypotension drugs was 10.8%. Patterns of hypotension during dialysis were categorized into 4 groups; stable 23.6% droped but recovered 30.3% large droped but small recovery 14.9% and droped but not recovered 31.1%. The figure for these who did not require any treatment for hypotension during hemodialysis was 68.2%. Saline infusion was the most prevalent (18.3%) as a treatment strategy for hypotension during hemodialysis. Death risk was low with a range of weight reduction of 2.0% to 8.0% for dialysis sessions; otherwise the risk of death was elevated. |