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Hypertension in dialysis

Sergio F F Santos1, Aldo J Peixoto

  • 1Division of Nephrology, State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil.

Current Opinion in Nephrology and Hypertension
|February 3, 2005
PubMed

Insights

Managing hypertension in dialysis patients is crucial for reducing cardiovascular mortality. Strategies like adjusting dialysate sodium and utilizing sympathetic nervous system blockers improve blood pressure control.

Area of Science:

  • Nephrology
  • Cardiology
  • Internal Medicine

Background:

  • Hypertension is a significant issue in dialysis patients, contributing to high cardiovascular mortality.
  • Understanding dialysis-associated hypertension is key to improving patient outcomes.

Purpose of the Study:

  • To review current management strategies for hypertension in dialysis patients.
  • To explore recent findings and their impact on clinical practice.

Main Methods:

  • Literature review of studies on dialysis-associated hypertension.
  • Analysis of recent findings on dialysate sodium, sympathetic nervous system, and dialysis frequency.

Main Results:

  • Decreasing dialysate sodium may help control hypertension.
  • Sympathetic nervous system overactivity and renalase are implicated in hypertension pathogenesis.
  • Sympathetic nervous system blocking drugs and daily dialysis improve blood pressure control.

Conclusions:

  • Long-term hypertension control is essential for dialysis patients.
  • Improved understanding of pathogenesis influences dialysis prescriptions and antihypertensive drug selection.
Abstract

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