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KMID : 0388420010110010037
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Konkuk Journal of Medical Sciences
2001 Volume.11 No. 1 p.37 ~ p.46
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Relations between Hypertension and Other Parameters in the Patients with Chronic Renal Failure on Hemodialysis
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Song Jong-Oh
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Abstract
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Hypertension is a common and difficult clinical problem to manage in patients undergoing chronic hemodialysis. In recent years, there has been increasing interest in defining the role of hypertension as a risk factor for cardiovascular disease in this population, developing techniques to improve blood pressure, control, and assessing their effect on cardiovascular morbidity and mortality. Prospective studies regarding the relationship between blood pressure and mortality in hemodialysis populations have been inconsistent and controversial. In this study, relations between hypertension and various parameters of patients with chronic renal failure on maintenance hemodialysis were analyzed. Blood pressure was higher in younger and male patients than older and female patients. Patients with diabetes had lower postdialysis diastolic blood pressure and patients with cardiovascular complications had higher blood pressure than patients without complications. Patients with low compliance with dialysis had higher blood pressure. Adequacy of dialysis such as Percent Urea Reduction Rate(PUR) and Kt/V was negatively correlated with blood pressure. But interdialytic weight gain was not related with change of blood pressure. And other laboratory parameters including hemoglobin, albumin, total cholesterol and sodium showed no correlations with high blood pressure.
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KEYWORD
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chronic renal failure, hypertension, hemodialysis
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