Correlates of Blood Pressure and Predictors of Cardiovascular Mortality in Haemodialysis Patients

作者: Luigi Vernaglione , Viviana Nosella , Stefano Chimienti

DOI: 10.2165/11311820-000000000-00000

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摘要: Introduction: A number of factors can affect the correlation between elevated blood pressure (BP) and cardiovascular mortality among haemodialysis patients. Aim: To study main correlates pre- post-BP components together with risk for in stable, prevalent Methods: We enrolled patients haemodialysis, aged over 18 years >3 months treatment. BP was recorded as mean systolic (SBP), diastolic (DBP), (MBP) pulse (PP) post-haemodialysis within month before study. All Framingham diseases, haemodialysis- uraemia-related were tested multiple regression analysis. Results: Sixty-five (55.4% males) consented to Age reversely correlated prehaemodialysis DBP (B [the coefficient analysis] = −0.62; p < 0.0001) MBP −0.44; 0.001); diabetic had higher pre-haemodialysis PP 0.35; 0.012); parathyroid hormone (PTH) [B −0.35; 0.01/B −0.39; 0.002/B −0.41; 0.002] inter-haemodialysis weight gain −0.31; 0.04/B −0.25; 0.05/B 0.03) indirectly SBP, MBP, respectively; kT/V (where k is dialyser clearance, T time treatment V body urea distribution volume) directly associated SBP 0.27; 0.03). Post-haemodialysis age significant predictors mortality. Conclusions: Any epidemiological approach control should be adjusted by influence diabetes mellitus. Also, values interpreted taking into account effects vintage, gain, PTH values. Moreover, reducing increasing adequacy improve lifespan

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