scholarly journals Seasonal variation of blood pressure in maintenance hemodialysis

1998 ◽  
Vol 116 (4) ◽  
pp. 1774-1777 ◽  
Author(s):  
Manuel Carlos Martins de Castro ◽  
Décio Mion Jr. ◽  
Marcello Marcondes ◽  
Emil Sabbaga
Keyword(s):  
Blood Pressure ◽  
Renal Failure ◽  
Seasonal Variation ◽  
Chronic Renal Failure ◽  
Ambient Temperature ◽  
Sao Paulo ◽  
São Paulo ◽  
Dialysis Unit ◽  
Arterial Blood ◽  
The Impact

CONTEXT: Seasonal variation in arterial blood pressure has been reported in studies with hypertensive and normotensive subjects. However, the influence of seasonal change on blood pressure of hemodialysis patients has not been reported. OBJECTIVE: To investigate the seasonal variation of blood pressure in Brazil, a tropical country, in patients on hemodialysis. DESIGN: Prospective, cohort study. SETTING: Dialysis unit of a tertiary medical center (a teaching hospital of the University of São Paulo School of Medicine, São Paulo). PATIENTS: Sixteen patients with chronic renal failure undergoing hemodialysis. OUTCOMES: Blood pressure, body weight, and ambient temperature were evaluated during 6 hemodialysis sessions carried out on 13 days during the four seasons. RESULTS: The diastolic blood pressure was lower in summer than in fall and winter (95 ± 8 vs 107 ± 10 and 101 ± 10 mmHg, respectively; p < 0.05). The same was observed with mean blood pressure (116 ± 8 vs 130 ± 11 and 124 ± 9 mmHg, respectively; p < 0.01). On the other hand, the ambient temperature was higher in summer than in fall and winter (23.0 ± 1.6 vs 19.5 ± 3.0 and 15.8 ± 1.9 ºC, respectively; p < 0.01). CONCLUSIONS: We concluded that for patients with chronic renal failure the blood pressure has a seasonal variation with higher pressures in fall and winter than in summer. Thus, further studies are needed to elucidate the impact of this observation on the adjustment of antihypertensive treatment and on morbidity and mortality in maintenance dialysis patients.

Início do tratamento hemodialítico: qualidade de vida, sentimentos e dificuldades

2009 ◽  
Vol 3 (2) ◽  
pp. 223
Author(s):  
Maria Lepoldino da Rocha ◽  
Sheila Dos Santos Vieira ◽  
Sheyla De Oliveira Braga ◽  
Vanessa De Brito Poveda ◽  
Elisabeth Hoffman Sanchez
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Day Treatment ◽  
Sao Paulo ◽  
São Paulo ◽  
Calidad De Vida ◽  
Mixed Feelings ◽  
Renal Patient

ABSTRACT Objective: to know the perception of the chronic renal patient on quality of life. Method: qualitative study, with patients that started the hemodialysis’ treatment from September 2007 to February 2008, in a hospital from Vale do Paraiba, São Paulo state. It were participated all patients with Chronic Renal Failure and excluding children under 18 and those with difficulty of communication. Data was organized and analyzed based on hermeneutics methodology. Results: 37 patients were studied, most males (23/62%), predominantly in the age of 51 to 60 years. In the subjects examined, 57% reported having received information about the hemodialysis, the first professional guidance through the medical and day-to-day treatment by the nursing staff. The information of the need for dialysis was received with mixed feelings as many, acceptance, concern, sadness, among others. It was observed that patients identify the food as the primary care related to their health. Conclusion: the upheld and reciprocity of health professionals as well as family support are factors that contribute to better adherence to treatment, helping them to live with the conflicting feelings, thus improving their quality of life. Descriptors: chronic renal failure; hemodialysis; quality of life.RESUMOObjetivo: conhecer a percepção do paciente renal crônico sobre qualidade de vida. Métodos: estudo qualitativo, com pacientes que iniciaram o tratamento homodialítico, entre setembro de 2007 a fevereiro de 2008, em um hospital do Vale do Paraíba, São Paulo. Para a coleta de dados foi empregado um formulário de entrevista. Foram incluídos todos os pacientes com Insuficiência Renal Crônica, excluindo os menores de 18 anos e os com dificuldade de comunicação. Os dados foram organizados e analisados a luz da hermenêutica. Resultados: dos 37 pacientes estudados, a maioria era do sexo masculino (23/62%), predominantemente na faixa etária dos 51 aos 60 anos. Dos sujeitos analisados 57% relatam ter recebido informações a respeito da hemodiálise e a primeira orientação por meio do profissional médico e no dia-a-dia do tratamento pela equipe de enfermagem. A notícia da necessidade de hemodiálise foi recebida com sentimentos diversos como, aceitação, apreensão, tristeza, entre outros. Observou-se que os pacientes identificam a alimentação como o principal cuidado relacionado com a sua saúde. Conclusão: a acolhida e a reciprocidade dos profissionais da saúde, assim como o apoio familiar são fatores que contribuem para uma melhor adesão ao tratamento ajudando-os a conviver com os sentimentos conflitantes, melhorando assim sua qualidade de vida. Descritores: insuficiência renal crônica; hemodiálise; qualidade de vida. RESUMENObjetivo: conocer la percepción del paciente renal crónico sobre calidad de vida. Métodos: estudio cualitativo, con pacientes que iniciaron el tratamiento de hemodiálisis, entre septiembre de 2007 y febrero de 2008, en un hospital del Vale do Paraíba, São Paulo. Para la colecta de datos fue empleado un formulario de entrevista. Fueron incluidos todos los pacientes con Insuficiencia Renal Crónica, excluyendo los menores de 18 años y aquellos con dificultad de comunicación. Los datos fueron organizados y analizados a luz de la hermenéutica. Resultados: de los 37 pacientes estudiados, la mayoría era del sexo masculino (23/62%), predominantemente en la faja de edad de los 51 a los 60 años. De los sujetos analizados 57% relatan haber recibido informaciones a respecto del hemodiálisis y la primera orientación por medio del profesional médico y en el día a día del tratamiento por el equipo de enfermería. La noticia de la necesidad de hemodiálisis fue recibida con sentimientos diversos como, aceptación, aprensión, tristeza, entre otros. Fue observado que los pacientes identifican la alimentación como el principal cuidado relacionado con su salud. Conclusión: la acogida y la reciprocidad de los profesionales de la salud, así como el apoyo familiar son factores que contribuyen para una mejor adhesión al tratamiento ayudándolos a convivir con los sentimientos conflictivos, mejorando así su calidad de vida. Descriptores: insuficiencia renal crónica; hemodiálisis; calidad de vida.

scholarly journals Influence of Enalapril on the progression of chronic renal failure in diabetic nephropathy and nephropathies of and other aethiology: A two-year study

2002 ◽  
Vol 130 (3-4) ◽  
pp. 87-90
Author(s):  
Jasna Trbojevic ◽  
Biljana Stojimirovic
Keyword(s):  
Blood Pressure ◽  
Renal Failure ◽  
Diabetic Nephropathy ◽  
Chronic Renal Failure ◽  
Serum Creatinine ◽  
Regression Line ◽  
Diabetic Patients ◽  
Protein Levels ◽  
Arterial Blood ◽  
The Difference

Chronic renal failure (CRF) is almost always associated with high arterial blood pressure. Adequate control of hypertension slows down the progression of the disease, Inhibitors of angiotenzin-converting enzyme (ACE inhibitors) have proved to be very efficacious in decreasing high blood pressure. The aim of this study was to assess the influence of ACE inhibitor enalapril on the progression of CRF in patients with diabetic nephropathy and nephropathies of other origin. During 1998 and 1999 thirty patients (20 males and 10 females, aged 525+1.3) have been followed-up at the Department of Nephrology, Clinical Centre of Serbia. On regular monthly controls serum creatinine, urea, calcium and protein levels, creatinine clearance, and blood pressure, were measured. All patients were suggested a low protein diet. Progression of the disease was expressed by the slope of the regression line showing reciprocal serum creatinine values. Proteinaemia was significantly higher in diabetic patients after 12 months (p<0.35) but in the next 12 months the difference between groups disappeared. The same patients had significantly lower serum urea (p<0.05) after 24 months and creatinine values (p<0.05) dur ing the whole study. Other variables changed in the same manner and with similar progression in both groups. The direction of slope lines suggested recovery of kidney function in both examined groups. However, a smaller slope in patients with diabetic nephropathy together with other results showed that enalapril had better influence on slowing down the progression of CRF in this group of patients.

scholarly journals Quality of life of patients undergoing hemodialysis

2017 ◽  
Vol 3 (1) ◽  
pp. 61
Author(s):  
Georgia Garofyllou ◽  
Martha Kelesi ◽  
Georgia Gerogianni ◽  
Konstantinos Tsaras ◽  
Georgia Fasoi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Chronic Hemodialysis ◽  
World Health ◽  
Dialysis Unit ◽  
Holistic Treatment ◽  
Study Results ◽  
The Impact

Introduction: Chronic Renal Failure (CRF) is a chronic disease, which has a negative impact on the quality of patients’ life. The study of factors affecting the quality of life of these patients is necessary to investigate the impact of the disease in a biological, psychological and social level.Aim: The purpose of this research study was to investigate the satisfaction of patients undergoing chronic hemodialysis and their perceptions of their quality of life.Material and Method: The study sample consisted of patients undergoing chronic hemodialysis at a Dialysis Unit in Athens. The study lasted from January 2016 to March 2016. To measure the health related quality of patients’ life, the Greek version of the questionnaire WHOQOL-BREF of the World Health Organization was used. The completion of the questionnaires was made by the method of the structured interview. A total of 70 questionnaires were completed.Results: According to the study results, most of the patients considered the quality of their life as good (48.6%), while the 8.5% described it as bad or very bad. The lowest satisfaction rates associated with issues of physical health and independence with mean (12.89 ± 2.23) and the highest with social relations (14.68 ± 1.50).Conclusion: The effect of Chronic Renal Failure on the physical, psychological and social background of patients on dialysis is an essential factor in creating a tailor-made holistic treatment program, adjusted to the specific needs of each patient.

Effect of Isoosmolar volume Reduction during Hemofiltration on Plasma Antidiuretic Hormone in Patients with Chronic Renal Failure

1980 ◽  
Vol 3 (6) ◽  
pp. 322-325 ◽  
Author(s):  
N.D. Vaziri ◽  
R. Skowsky ◽  
A. Warner
Keyword(s):  
Blood Pressure ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Volume Reduction ◽  
Fluid Loss ◽  
Fluid Removal ◽  
Arterial Blood ◽  
Clear Explanation ◽  
Stage Renal Disease ◽  
End Stage

The effect of isoosmolar volume reduction on plasma ADH level was studied in 8 patients with chronic renal failure utilizing hemofiltration technique. Plasma ADH fell significantly (P < 0.001) after one hour of hemofiltration despite volume reduction which was expected to elevate the ADH level. After two hours of hemofiltration, ADH remained low in 5 patients and increased in 3. Posthemofiltration mean blood pressure was generally lower in patients whose ADH rose than those whose ADH remained low. The two groups were otherwise comparable with respect to total fluid loss, hemofiltration rate, and fluid removed expressed as percent body weight. It can thus be suggested that in these patients a rise in plasma ADH in response to fluid reduction may require a fall in the arterial blood pressure below a critical level. While the rise in plasma ADH observed with continued fluid removal in some patients can be readily explained, we have no clear explanation for the paradoxical initial fall of ADH in all patients and subsequent maintenance of low levels observed in the majority of patients. This unusual ADH response to isoosmolar volume reduction may represent some unidentified mechanism of ADH regulation in patients with end-stage renal disease.

scholarly journals Pediatric renal allograft transplantation does not normalize the increased cortisol/cortisone ratios of chronic renal failure

2006 ◽  
Vol 154 (4) ◽  
pp. 555-561 ◽  
Author(s):  
Michael Schroth ◽  
Christian Plank ◽  
Manfred Rauh ◽  
Helmuth-Günther Dörr ◽  
Wolfgang Rascher ◽  
...  
Keyword(s):  
Mass Spectrometry ◽  
Blood Pressure ◽  
Renal Failure ◽  
Renal Transplantation ◽  
Chronic Renal Failure ◽  
Tandem Mass Spectrometry ◽  
Renal Allograft ◽  
Tandem Mass ◽  
Allograft Transplantation ◽  
Arterial Blood

Objective: The conversion of cortisol (F) to cortisone (E) is catalyzed by 11beta-hydroxysteroid dehydrogenase type 2 (11β-HSD2). Children suffering from chronic renal failure (CRF) have a decreased activity of 11β-HSD2 contributing to increased arterial blood pressure. The objective was to investigate whether a normal conversion of F to E is achieved after renal transplantation (TX) in children. Methods: Fifteen children with CRF, 17 children with steroid-free immunosuppression after TX, and 18 healthy controls (CO) were enrolled. The activity of 11β-HSD2 in plasma was calculated using the ratio of F/E determined by tandem mass spectrometry, the ratio of tetrahydrocortisol (THF) +5α-tetrahydrocortisol (5αTHF) in urine determined by gas chromatography/mass spectrometry, and the ratio of (THF +5αTHF)/tetrahydrocortisone (THE) in urine determined by tandem mass spectrometry. Results: The F/E ratio (mean ± s.d./s.e.m.) was significantly higher in CRF and TX (5.6 ± 1.9/0.6, 7.12 ± 3.1/0.9) than in CO (1.18 ± 0.2/0.03, P < 0.0001) groups. The (THF + 5αTHF)/THE ratio in CRF (1.19 ± 1.1/0.5) and TX (1.19 ± 0.1/0.5) groups was significantly higher than in controls (0.21 ± 0.05/0.18, P < 0.0001). Positive correlations between plasma and urinary ratios (P = 0.0004. R2 = 0.73 in CRF, P = 0.0013, R2 = 0.56 in TX, P < 0.0001, R2 = 0.66 in CO) were found, whereas significant correlations between F/E or (THF + 5αTHF)/THE ratios and blood pressure, the number of antihypertensive drugs taken or creatinine clearance could not be found. Conclusions: In all children with chronic renal failure plasma and urinary cortisol/cortisone ratios are elevated and do not return to normal levels after renal allograft transplantation. This suggests that renal transplantation does not normalize 11β-HSD2 activity.

Altered Orcadian Rhythms of Blood Pressure and Heart Rate in Non-Hemodialysis Chronic Renal Failure

1990 ◽  
Vol 7 (4) ◽  
pp. 321-327 ◽  
Author(s):  
Francesco Portaluppi ◽  
Loris Montanari ◽  
Michele Ferlini ◽  
Paolo Gilli
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Renal Failure ◽  
Chronic Renal Failure

METABOLIC SYNDROME IN DIALYSIS PATIENTS

2016 ◽  
pp. 7-11
Author(s):  
Vinh Phu Hoang ◽  
Tam Vo ◽  
Van Tien Le ◽  
Thi Hoai Huong Vo
Keyword(s):  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Artificial Kidney ◽  
Dialysis Patients ◽  
Cross Sectional ◽  
Average Value ◽  
The Metabolic Syndrome ◽  
End Stage

Objective: To review disorders elements of the metabolic syndrome in patients with end-stage chronic renal failure on dialysis cycle. Materials and methods: A cross sectional descriptive study of 85 patients including end-stage chronic renal failure in dialysis cycle from 5/2015 - 9/2016 at the Department of Artificial Kidney, Hue Central Hospital. Results: The prevalence of metabolic syndrome in dialysis patients was 37.65%. The prevalence of abdominal obesity was 30.6%; The prevalence of hypertension was 72.9%, the average value systolic blood pressure and diastolic blood pressure were 142.24 ± 27.53, 80.35 ± 12.48 mmHg; The prevalence of hyperglycemia was 28%, the average value blood glucose was 4.9 ± 1.19 mmol/l; The prevalence of triglyceride increase was 34.1%, the average value triglyceride was 1.59 ± 0.84 mmol/l. The prevalence of HDL-C increase was 47.1%, the average value HDL-C was 1.24 ± 0.33 mmol/l. Conclusion: The prevalence of metabolic syndrome in dialysis patients is very high, in which hypertension and HDL disturbances are the highest. Key words: chronic renal failure, dialysis, metabolic syndrome

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