The Effect of Interdialytic Weight Gain on Blood Pressure in a Population of Chronic Hemodialysis Patients

Interdialytic weight gain in patients with hemodialysis depends on fluid, salt intake in interdialytic period and compliance of dialysis patients. In end stage renal disease(ESRD) patients due to decreased and absent residual urine output there is salt and water retention in body which leads to interdialytic weight gain. Overhydration and IDWG is assumed to be the main cause of pre hemodialysis raised blood pressure(BP) in ESRD patients. Here the relationship between IDWG and pre HD blood pressure is studied in 40 hemodialysis patients. We recorded pre HD BP and IDWG in four subsequent hemodialysis sessions for each patient during the period of 2 weeks in patients who are on twice weekly hemodialysis. so, in total we studied 160 hemodialysis sessions. Mean of four pre HD BP is compared with mean of four IDWG for each patient. Then correlation between 40 mean IDWG and 40 mean pre HD BP is studied and also correlation between IDWG and pre HD blood pressure during 160 hemodidlysis sessions studied individually.

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M007 The effect of interdialytic weight gain on blood pressure in hemodialysis patients

American Journal of Hypertension ◽

10.1016/s0895-7061(97)91447-3 ◽

1998 ◽

Vol 11 (4) ◽

pp. 200A

Author(s):

M RAHMAN

Keyword(s):

Blood Pressure ◽

Weight Gain ◽

Hemodialysis Patients ◽

Interdialytic Weight Gain

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Effect of Oral Sodium Bicarbonate Supplementation on Interdialytic Weight Gain, Plasma Sodium Concentrations and Predialysis Blood Pressure in Hemodialysis Patients

Blood Purification ◽

10.1159/000087195 ◽

2005 ◽

Vol 23 (5) ◽

pp. 379-383 ◽

Cited By ~ 8

Author(s):

Ezio Movilli ◽

Paola Gaggia ◽

Corrado Camerini ◽

Giuliano Brunori ◽

Valerio Vizzardi ◽

...

Keyword(s):

Blood Pressure ◽

Weight Gain ◽

Sodium Bicarbonate ◽

Hemodialysis Patients ◽

Plasma Sodium ◽

Interdialytic Weight Gain ◽

Oral Sodium

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Blood Pressure of Maintenance Hemodialysis Patients in the Dalmatian Region of Croatia: Differences between Hospital and Out-of-Hospital Dialysis Centers

Blood Purification ◽

10.1159/000474931 ◽

2017 ◽

Vol 44 (2) ◽

pp. 110-121

Author(s):

Marijana Gulin ◽

Dragan Klarić ◽

Mario Ilić ◽

Josipa Radić ◽

Vedran Kovačić ◽

...

Keyword(s):

Blood Pressure ◽

Weight Gain ◽

Beta Blockers ◽

Cross Sectional Study ◽

Hemodialysis Patients ◽

Maintenance Hemodialysis ◽

Sectional Study ◽

Cross Sectional ◽

Interdialytic Weight Gain ◽

Maintenance Hemodialysis Patients

Aims: This study was aimed at comparing the incidence of arterial hypertension and blood pressure (BP) variance in hospital and out-of-hospital hemodialysis (HD) patients during HD sessions. Methods: A cross-sectional study was conducted for 1 week at all the HD centers in Dalmatia, Croatia. The pre-, intra-, and post-dialysis BP values were collected for 3 consecutive HD sessions per patient. Results: Of the 399 subjects, 73.9% were hypertensives, who showed higher interdialytic weight gain compared to the normotensives (2.58 vs. 2.40). Hospital and out-of-hospital HD patients received identical antihypertensive therapies, except that beta blockers were more frequently administered to out-of-hospital HD patients. Higher pre-, intra-, and post-dialysis BP values were recorded in patients at out-of-hospital HD centers. Conclusion: The differences in BP variability and antihypertensive therapies administered to hospital HD patients as compared to out-of-hospital HD patients may reflect differing approaches by the nephrologists at these centers.

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