Blood Pressure Control in Peritoneal Dialysis Patients.

Blood Pressure Control in Peritoneal Dialysis Patients. Contrib Nephrol. 2018;196:148-154 Authors: Ryuzaki M Abstract In the general population, hypertension (HT) is defined as systolic blood pressure (SBP) ≥140 mm Hg and/or diastolic blood pressure (DBP) ≥90 mm Hg. In dialysis patients, the definition is thought to be the same as in the general population. But there is no clear description about the definition of HT for dialysis patients, especially in peritoneal dialysis (PD) patients. The prevalence of HT in PD patients is much higher compared to the general population. The association of BP and cardiovascular (CV) mortality in PD patients who are not exposed to huge hemodynamic changes during hemodialysis (HD) has been inconsistently reported. The International Society of Peritoneal Dialysis (ISPD) guideline recommends that BP be evaluated by home BP measurement at least once a week and at each visit to the clinic and that active screening and periodic monitoring of BP be performed in this population. When collecting BP data via our telemedicine system, HD patients' weekly BP variability was unclear if data were analyzed by the day of the week, but was clear if data were analyzed by the day of dialysis. There is weekly BP variability probably due to volume status, not due to the day of the week. The range of variability of morning SBP in a week was almost 16 mm Hg in HD patients. But continuous ambulatory PD patients' home mo...
Source: Contributions to Nephrology - Category: Urology & Nephrology Tags: Contrib Nephrol Source Type: research