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Published on: July 19, 2018
[Hypertension in peritoneal dialysis patients]
Mirjana Lausević1, Natasa Jovanović, Ana Bontić
1Klinicki centar Srbije, Beograd Institut za urologiju i nefrologiju Nefroloska klinika. zlaus@eunet.yu
Medicinski Pregled
|October 28, 2006
Summary
Long-term peritoneal dialysis can worsen blood pressure control. Maintaining residual renal function is crucial for managing hypertension in dialysis patients.
Area of Science:
- Nephrology
- Cardiovascular Medicine
- Dialysis Technology
Context:
- Continuous ambulatory peritoneal dialysis (CAPD) initially improves blood pressure by removing fluid and sodium.
- Long-term CAPD efficacy in blood pressure control may decline due to factors like loss of residual renal function (RRF) and altered ultrafiltration.
- Hypertension is common in long-term CAPD patients, necessitating investigation into contributing factors.
Purpose:
- To compare blood pressure control efficacy in peritoneal dialysis (PD) patients based on dialysis modality and duration.
- To assess the influence of residual renal function (RRF) and dialysis adequacy on blood pressure management in PD patients.
- To identify patient groups at higher risk for hypertension during PD treatment.
Summary:
- A retrospective analysis of 67 PD patients revealed a 73.13% prevalence of hypertension.
- Hypertension prevalence was higher in patients with less residual diuresis (<500 ml, 80.64%) compared to those with >1000 ml (36.6%).
- Dialysis duration, reduced ultrafiltration, and loss of RRF correlated negatively with blood pressure control, while age and body weight correlated positively.
Impact:
- Dialysis duration negatively impacts blood pressure control in PD patients.
- Residual renal function is vital for effective volume and blood pressure management.
- Patients with high/high-average peritoneal membrane transport, especially anuric individuals, face increased hypertension risk.
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