BLOOD PRESSURE FLUCTUATIONS IN CYCLIC DIALYSIS IN PATIENTS WITH END-STAGE CHRONIC RENAL FAILURE AT BACH MAI HOSPITAL IN 2020-2021
Main Article Content
Abstract
Objectives: Describe blood pressure fluctuations in patients with end-stage renal disease on dialysis
at Bach Mai Hospital and related factors.
Study subjects and methods: Cross-sectional description was performed on 256 chronic renal
failure patients undergoing cyclic hemodialysis.
Results: The rate of blood pressure fluctuations during and after hemodialysis was 74.6%, including
fluctuations in blood pressure and hypotension. The factors of age, associated hypertension, economic
circumstances, health insurance regime, time of hemodialysis, and self-care ability are statistically
significant with the patient’s BPH with p < 0,05.
Conclusion: Blood pressure fluctuations often occur at any time during and after dialysis, most
necessary to closely monitor the patient to promptly detect blood pressure complications for timely
treatment.
Article Details
Keywords
Blood pressure fluctuations, hemodialysis.
References
renal failure with conservative and alternative
treatment", Lecture on Internal Medicine, Volume
1, Hanoi Medical University, 2012: 412-425.
[2] Shiba N, Shimokawa H, Chronic kidney disease and
heart failure--Bidirectional close link and common
therapeutic goal. J Cardiol, 2011; 57(1): 8-17.
[3] Vinh HT, Manh BV, Renal replacement therapy
with artificial kidney, Internal pathology, volume
1, People's Army Publishing House, 2008; 1:
330-339.
[4] Tuan NV, Thanh NTM, Studying the blood pressure
changes during dialysis in hemodialysis patients,
Vietnam Medical Journal, 2021; 500(1): 60-65.
[5] Jula KI, Intradialytic Hypertension: A LessRecognized Cardiovascular Complication
of Hemodialysis, Am J Kidney Dis, 2010;
55(3):580–589. doi:10.1053/j.ajkd.2009.08.013.
[6] National Kidney Foundation, K/DOQI Clinical
Practice Guidelines for cardiovascular disease in
dialysis patients,Am J Kidney Dis, 2005; 45:s49–s59.
[7] Bossola M, Intradaialytic hypotension is
associated with dialytic age in patients on chronic
hemodialysis, 2013; 35(9): 1260-1263
[8] Agarwal R, Epidemiology of interdialytic
ambulatory hypertension and the role of volume
excess, American Journal of Nephrology,
2011;34: 381-390
[9] SantoroA, Blood volume controlled hemodialysis
in hypotension-prone patients: A randomized,
multicenter controlled trial, Kidney International,
2002; 62: 1034-1045.
[10] Palmer BF, William LH, Autonomic Neuropathy
and hemodynamic stability in end-stage renal
disease patients , Principles and practice of
dialysis, 2004; 282-295.