Dialysis-induced hypotension is associated with impaired aortic elasticity in patients undergoing chronic hemodialysis

Blood Pressure Monitoring

Volumn 13, Issue 2, 2008, Pages 73-78

  Duman, Dursun ^a,d   Demirtunc, Refik ^b   Erdogan, Bulent ^b   Sahin, Gulizar Manga ^a   Karadag, Bilgehan ^c  

^a ISTANBUL UNIVERSITY   (Turkey)

^b HAYDARPASA NUMUNE EDUCATION AND RESEARCH HOSPITAL   (Turkey)

^c ISTANBUL UNIVERSITY   (Turkey)

^d Agaoglu My Country Sitesi D10 1   (Turkey)

Author keywords

Aortic stiffness; Dialysis induced hypotension; Hemodialysis; Mortality

Indexed keywords

ANGIOTENSIN 2 RECEPTOR ANTAGONIST; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; CALCIUM ANTAGONIST; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; NITRATE;

ADULT; AGED; AORTA DISEASE; ARTERIAL STIFFNESS; ARTICLE; CONTROLLED STUDY; CORONARY ARTERY DISEASE; DIALYSIS; DISEASE ASSOCIATION; DOPPLER ECHOCARDIOGRAPHY; FEMALE; FOLLOW UP; HEART FAILURE; HEART LEFT VENTRICLE EJECTION FRACTION; HEART LEFT VENTRICLE FUNCTION; HEART LEFT VENTRICLE OVERLOAD; HEMODIALYSIS; HUMAN; HYPERTENSION; HYPOTENSION; MAJOR CLINICAL STUDY; MALE; MORTALITY; PRIORITY JOURNAL; RISK FACTOR;

ADULT; AGED; AORTA; AORTIC DISEASES; CASE-CONTROL STUDIES; DIALYSIS; ECHOCARDIOGRAPHY; ELASTICITY; FEMALE; HUMANS; HYPOTENSION; KAPLAN-MEIERS ESTIMATE; MALE; MIDDLE AGED; ODDS RATIO; VENTRICULAR DYSFUNCTION, LEFT;

EID: 40949097355     PISSN: 13595237     EISSN: None     Source Type: Journal    
DOI: 10.1097/MBP.0b013e3282f13f75     Document Type: Article

References (27)

1. Henrich WL. Hemodynamic instability during hemodialysis. Kidney Int 1986; 30:605-612.
2. Tisler A, Akocsi K, Borbas B, Fazakas L, Ferenczi S, Gorogh S, et al. The effect of frequent or occasional dialysis-associated hypotension on survival of patients on maintenance hemodialysis. Nephrol Dial Transplant 2003; 18:2601-2605.
3. Shoji T, Tsubakihara Y, Fujii M, Imai E. Hemodialysis-associated hypotension as an independent risk factor for two-year mortality in hemodialysis patients. Kidney Int 2004; 66:1212-1220.
4. Daugirdas JT. Pathophysiology of dialysis hypotension: an update. Am J Kidney Dis 2001; 38 (Suppl 4):S11-S17.
5. Andrulli S, Colzani S, Mascia F, Lucchi L, Stipo L, Bigi MC, et al. The role of blood volume reduction in the genesis of intradialytic hypotension. Am J Kidney Dis 2002; 40:1244-1254.
6. Heinrich WL. Dialysis consideration in the elderly patient. Am J Kidney Dis 1990; 16:339-341.
7. Leunissen KML, Kooman JP, van Kuijk W, van der Sande F, Luik AJ, van Hooff JP. Preventing haemodynamic instability in patients at risk for intra-dialytic hypotension. Nephrol Dial Transplant 1996; 11 (Suppl 2):11-15.
8. Sato M, Horigome I, Chiba S, Furuta T, Miyazaki M, Hotta O, et al. Autonomic insufficiency as a factor contributing to dialysis-induced hypotension. Nephrol Dial Transplant 2001; 16:1657-1662.
9. Rubinger D, Revis N, Pollak A, Luria MH, Sapoznikov D. Predictors of haemodynamic instability and heart rate variability during hemodialysis. Nephrol Dial Transplant 2004; 19:2053-2060.
10. Blacher J, Guerin AP, Pannier B, Marchais SJ, Safar ME, London GM. Impact of aortic stiffness on survival in end-stage renal disease. Circulation 1999; 99:2434-2439.
11. Gibbons GH, Dzau VJ. The emerging concept of vascular remodeling. N Engl J Med 1994; 330:1431-1438.
12. Chesterton LJ, Sigrist MK, Bennett T, Taal MW, McIntyre CW. Reduced baroreflex sensitivity is associated with increased vascular calcification and arterial stiffness. Nephrol Dial Transplant 2005; 20:1140-1147. Epub 12 April 2005.
13. Lacy P, Carr SJ, O'Brien D, Fentum B, Williams B, Paul SK, et al. Reduced glomerular filtration rate in pre-dialysis non-diabetic chronic kidney disease patients is associated with impaired baroreceptor sensitivity and reduced vascular compliance. Clin Sci (Lond) 2006; 110:101-108.
14. Watson PE, Watson ID, Batt RD. Total body water volumes for adult males and females estimated from simple anthropometric measurements. Am J Clin Nutr 1980; 33:27-39.
15. World Health Organization. Diabetes Mellitus: A Report of a WHO Study Group (WHO publication no. 727). World Health Organization, Geneva, 1985.
16. Pitsavos C, Toutouzas K, Dernellis J, Skoumas J, Skoumbourdis E, Stefanadis C, et al. Aortic stiffness in young patients with heterozygous familial hypercholesterolemia. Am Heart J 1998; 135:604-608.
17. Stratos C, Stefanadis C, Kallikazaros I, Boudoulas H, Toutouzas P. Ascending aorta distensibility abnormalities in hypertensive patients and response to nifedipine administration. Am J Med 1992; 93:505-512.
18. Stefanadis C, Stratos C, Boudoulas H, Kourouklis C, Toutouzas P. Distensibility of the ascending aorta: comparison of invasive and non-invasive techniques in healthy men and in men with coronary artery disease. Eur Heart J 1990; 11:990-996.
19. Angell-James JE, Lumley JS. Pathophysiology of aortic baroreceptors in rabbits with vitamin D sclerosis and hypertension. Circ Res 1974; 34:327-338.
20. Mattace-Raso FU, van den Meiracker AH, Bos WJ, van der Cammen TJ, Westerhof BE, Elias-Smale S, et al. Arterial stiffness, cardiovagal baroreflex sensitivity and postural blood pressure changes in older adults: The Rotterdam Study. J Hypertens 2007; 25:1421-1426.
21. Stefanadis C, Dernellis J, Vlachopoulos C, Tsioufis C, Tsiamis E, Toutouzas K, et al. Aortic function in arterial hypertension determined by pressurediameter relation: effects of diltiazem. Circulation 1997; 96:1853-1858.
22. Pauca AL, O'Rourke MF, Kon ND. Prospective evaluation of a method for estimating ascending aortic pressure from the radial artery pressure waveform. Hypertension 2001; 38:932-937.
23. Arnett DK, Boland LL, Evans GW, Riley W, Barnes R, Tyroler HA, et al. Hypertension and arterial stiffness: The Atherosclerosis Risk in Communities Study. ARIC Investigators. Am J Hypertens 2000; 13:317-323.
24. Foley RN, Parfrey PS, Sarnak MJ. The clinical epidemiology of cardiovascular disease in chronic renal disease. Am J Kidney Dis 1998; 32 (Suppl 3):S112-S119.
25. Duman D, Tokay S, Toprak A, Duman D, Oktay A, Ozener IC, et al. Elevated cardiac troponin T is associated with increased left ventricular mass index and predicts mortality in continuous ambulatory peritoneal dialysis patients. Nephrol Dial Transplant 2005; 20:962-967. Epub 1 March 2005.
26. Covic A, Haydar AA, Bhamra-Ariza P, Gusbeth-Tatomir P, Goldsmith DJ. Aortic pulse wave velocity and arterial wave reflections predict the extent and severity of coronary artery disease in chronic kidney disease patients. J Nephrol 2005; 18:388-396.
27. Boutouyrie P, Tropeano AI, Asmar R, Gautier I, Benetos A, Lacolley P, Laurent S. Aortic stiffness is an independent predictor of primary coronary events in hypertensive patients: a longitudinal study. Hypertension 2002; 39:10-15.