Pathophysiology and Treatment of Hypertension in Dialysis Patients

摘要: Before the start of regular dialysis treatment (RDT) prevalence hypertension averages between 75 and 90%l,2. During long-term RDT its declines markedly. The resulting inverse relationship duration elevated blood pressure (BP) is not only caused by early death hypertensive patients, but mainly due to antihypertensive effect itself. This BP-lowering relates normotensive patients. In a 10-year follow-up study percentage patients declined from 73 16%3. Hypertension disappeared in younger individuals, while it persisted or developed de-novo older showing characteristics systolic hypertension. observation underlines role age-related factors pathogenesis this type Interestingly, after 10 years was lower than an age- sex-matched population 4. these besides fluid salt removal dialysis, decrease dry weight, observed many 5 treatment, may contribute effect. It appears that prolonged sessions up 24 30 hours per week lead more effective control pressure. on 52 performed Charra5 normotension achieved strict maintenance weight alone (low diet, no drugs).