Achieving blood pressure targets during dialysis improves control but increases intradialytic hypotension. Export

@article{citeulike:2670756, abstract = {Cardiovascular disease remains the most common cause of mortality in patients with end-stage kidney disease treated by regular hemodialysis. To improve blood pressure control and reduce cardiovascular risk, the United Kingdom Renal Association standards committee introduced pre- and post-dialysis target blood pressures of less than 140/90 and 130/80 mm Hg, respectively. We audited blood pressure control and symptomatic intradialytic hypotension requiring fluid resuscitation in the Greater London area renal centers that serve 2630 patients. The study captured 7890 hemodialysis sessions during a 1-week period where only 36\% of the patients achieved the pre-dialysis target and 42\% the post-dialysis target, with a wide variation between centers. Different antihypertensive medication prescriptions did not affect achievement of these targets. Fifteen percent of the patients suffered symptomatic hypotension requiring fluid resuscitation associated with significantly greater interdialytic weight gains. Our study found that intradialytic hypotension was significantly greater in centers that achieved better post-dialysis blood pressure targeting.}, address = {UCL Center for Nephrology, Royal Free and University College Medical School, London, UK. andrew.davenport@royalfree.nhs.uk}, author = {Davenport, A. and Cox, C. and Thuraisingham, R.}, citeulike-article-id = {2670756}, citeulike-linkout-0 = {http://dx.doi.org/10.1038/sj.ki.5002745}, citeulike-linkout-1 = {http://dx.doi.org/10.1038/5002745a}, citeulike-linkout-2 = {http://view.ncbi.nlm.nih.gov/pubmed/18160959}, citeulike-linkout-3 = {http://www.hubmed.org/display.cgi?uids=18160959}, doi = {10.1038/sj.ki.5002745}, issn = {1523-1755}, journal = {Kidney international}, keywords = {blood\_pressure, dialysis, hypotension, kdoqi}, month = {March}, number = {6}, pages = {759--764}, posted-at = {2008-04-14 23:35:01}, priority = {2}, title = {Achieving blood pressure targets during dialysis improves control but increases intradialytic hypotension.}, url = {http://dx.doi.org/10.1038/sj.ki.5002745}, volume = {73}, year = {2008} }

TY - JOUR ID - citeulike:2670756 L3 - citeulike-article-id:2670756 N2 - Cardiovascular disease remains the most common cause of mortality in patients with end-stage kidney disease treated by regular hemodialysis. To improve blood pressure control and reduce cardiovascular risk, the United Kingdom Renal Association standards committee introduced pre- and post-dialysis target blood pressures of less than 140/90 and 130/80 mm Hg, respectively. We audited blood pressure control and symptomatic intradialytic hypotension requiring fluid resuscitation in the Greater London area renal centers that serve 2630 patients. The study captured 7890 hemodialysis sessions during a 1-week period where only 36% of the patients achieved the pre-dialysis target and 42% the post-dialysis target, with a wide variation between centers. Different antihypertensive medication prescriptions did not affect achievement of these targets. Fifteen percent of the patients suffered symptomatic hypotension requiring fluid resuscitation associated with significantly greater interdialytic weight gains. Our study found that intradialytic hypotension was significantly greater in centers that achieved better post-dialysis blood pressure targeting. IS - 6 JF - Kidney international SN - 1523-1755 AD - UCL Center for Nephrology, Royal Free and University College Medical School, London, UK. andrew.davenport@royalfree.nhs.uk EP - 764 TI - Achieving blood pressure targets during dialysis improves control but increases intradialytic hypotension. VL - 73 SP - 759 KW - blood_pressure KW - dialysis KW - hypotension KW - kdoqi AU - Davenport, A AU - Cox, C AU - Thuraisingham, R PY - 2008/03// UR - http://dx.doi.org/10.1038/sj.ki.5002745 ER -