The Japanese Journal of Clinical Dialysis Vol.27 No.9(1-3)

Theme Abnormal Blood Pressure in Dialysis Patients
Title Evaluation of blood pressure in CKD
Publish Date 2011/08
Author Yasunori Miyasaka Department of Nephrology, Sendai Shakaihoken Hospital
Author Toshinobu Sato Department of Nephrology, Sendai Shakaihoken Hospital
[ Summary ] In patients with chronic kidney disease (CKD), hypertension has a particular influence on cardiovascular morbidity and mortality. Patients receiving dialysis (CKD-5D), are especially prone to cardiovascular disease, which is a major cause of death and decreased activity levels. Therefore, in terms of treatment for CKD patients, it is important to evaluate blood pressure correctly. However, in patients receiving hemodialysis, extracellular fluid volume is an important factor, regulating blood pressure changes during dialysis treatment. In addition, the regulation of peripheral vascular resistance is also altered in CKD. As a result, the blood pressure should be treated in terms of considering blood pressure in dialysis centers, in home blood pressure monitoring and ABPM. Evaluation of blood vessel elasticity using PWV, CAVI and ABI is also important, because the elasticity of blood vessels is involved in increases in diastolic hypertension and pulse pressure.
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