Introduction: Intradial.tic hypertension is defined as el.vation of bl.od pressure to more than 10 mmHg in the post-dial.sis period as compared to the pre-dial.sis one. It is an important factor of morbidity and morta...
详细信息
Introduction: Intradial.tic hypertension is defined as el.vation of bl.od pressure to more than 10 mmHg in the post-dial.sis period as compared to the pre-dial.sis one. It is an important factor of morbidity and mortal.ty in hemodial.sis patients. The aim of our study is to assess the preval.nce and associated factors of intradial.tic hypertension. Patients and methods: This is a descriptive and anal.tical.cross-sectional.study that was conducted over a period of 3 weeks in the hemodial.sis units of Aristide l. Dantec Hospital.in Dakar and Regional.Hospital.Center in Ziguinchor. Chronic he-modial.sis patients who are at l.ast 18 years ol. and agreed to participate in study have been incl.ded. Patients who did not have 4 measures or those who decided to withdraw from the study were excl.ded. Intradial.tic hypertension was restrained by an increase in systol.c bl.od pressure immediatel. after the hemodial.sis session > 10 mmHg compared to that recorded before session, with a repetition of this phenomenon for at l.ast 4 hemodial.sis sessions. Resul.s: Our study incl.ded 539 hemodial.sis sessions for 93 hemodial.sis patients with a mean age of 48.72 ± 14.06 years and a sex ratio (M/F) of 1.21. The mean duration of dial.sis was 64.22 ± 45.63 months. Hypertensive nephropathy was significantl. common, noted in 38.7% (36 patients). Mean inter dial.tic weight gain was 2.04 ± 1.06 kg, and the average dry weight was 62.71 ± 13.69 kg. The average hemogl.bin l.vel.was 9.27 ± 1.91 g/dl. The mean al.umin l.vel.was 35.4 ± 7.48 g/l. Nineteen (19) patients were administered erythropoietin stimul.ting agents (20.4%), and 59 patients were given antihypertensive drugs (63.4%). An el.vation of more than 10 mmHg of post-dial.sis BP compared to pre-dial.sis was noted in 179 sessions, which is 33.2 per 100 hemodial.sis sessions. IDH was noted in 21 patients, which represents 22.6%. The factors associated with IDH were as fol.ows: high post-dial.sis pul.e pressure (PP) (p = 0.0008), pre-dial
暂无评论