The effect of dry-weight reduction guided by lung ultrasound on ambulatory blood pressure in hemodialysis patients: a randomized controlled trial
Approximately 85% of hemodialysis patients are hypertensive, but less than 30% achieve adequate blood pressure (BP) control. Reduction of volume overload is fundamental for BP control, but clinical criteria to estimate dry-weight are inaccurate. In the present study we examined the effect of dry-weight reduction with a lung-ultrasound-guided strategy on ambulatory BP in 71 clinically euvolemic hemodialysis patients with hypertension. Patients were equally randomized into an active group, following a strategy for dry-weight reduction guided by pre-hemodialysis lung ultrasound, and a control group with standard-of-care treatment.
Source: Kidney International - Category: Urology & Nephrology Authors: Charalampos Loutradis, Pantelis A. Sarafidis, Robert Ekart, Christodoulos Papadopoulos, Vasileios Sachpekidis, Maria Eleni Alexandrou, Dorothea Papadopoulou, Giorgos Efstratiadis, Aikaterini Papagianni, Gerard London, Carmine Zoccali Tags: Clinical Trial Source Type: research
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