Effect of low dialysate sodium in the management of intradialytic hypertension in maintenance hemodialysis patients: A single‐center Indian experience
High dialysate sodium is a significant contributor to intradialytic hypertension (IDH) in maintenance hemodialysis patients. In this study, we aimed to study the effect of low dialysate sodium on IDH in Indian hemodialysis patients. Fifty patients on maintenance hemodialysis for atleast 3 months wit...
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| Vydané v: | Hemodialysis international Ročník 25; číslo 3; s. 399 - 406 |
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| Hlavní autori: | , , , , , |
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01.07.2021
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| Abstract | High dialysate sodium is a significant contributor to intradialytic hypertension (IDH) in maintenance hemodialysis patients. In this study, we aimed to study the effect of low dialysate sodium on IDH in Indian hemodialysis patients.
Fifty patients on maintenance hemodialysis for atleast 3 months with episodes of IDH were enrolled in this study. The study was performed in two different stages. In the first phase, patients were dialyzed with standard dialysate sodium (140 mEq/L) for eight consecutive sessions and in the second phase, they were dialyzed with low sodium dialysate (136 mEq/L) for eight consecutive sessions. Differences in pre, intradialytic, and post-HD blood pressure, interdialytic weight gain, mean serum sodium, intradialytic adverse events, and number of IDH episodes requiring intervention between the two phases were assessed.
The mean age of the study population was 52 years (36 males,14 females). The mean post-HD systolic and diastolic BP was 163.26 ± 9.58 mmHg and 88.60 ± 5.27 mmHg in the standard dialysate phase and 142.38 ± 14.09 mmHg and 84.58 ± 4.276 mmHg, respectively, in the low dialysate phase (p < 0.01). Interdialytic weight gain was 3.34 ± 0.9 and 3.11 ± 0.86 in the standard and low sodium dialysate phases, respectively (p = 0.19).The mean pre-HD plasma sodium level was 138.48 ± 3.69 and 135.80 ± 1.35 mEq/dl, respectively, in standard and low dialysate phases (p = 0.01). There was significant reduction in number of IDH episodes requiring intervention. There was no difference in hypotensive episodes, adverse events between the two phases.
In patients with intradialytic hypertension, low dialysate sodium significantly reduces the post-HD blood pressure and intradialytic hypertensive episodes, when compared with standard sodium dialysate. |
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| AbstractList | High dialysate sodium is a significant contributor to intradialytic hypertension (IDH) in maintenance hemodialysis patients. In this study, we aimed to study the effect of low dialysate sodium on IDH in Indian hemodialysis patients.
Fifty patients on maintenance hemodialysis for atleast 3 months with episodes of IDH were enrolled in this study. The study was performed in two different stages. In the first phase, patients were dialyzed with standard dialysate sodium (140 mEq/L) for eight consecutive sessions and in the second phase, they were dialyzed with low sodium dialysate (136 mEq/L) for eight consecutive sessions. Differences in pre, intradialytic, and post-HD blood pressure, interdialytic weight gain, mean serum sodium, intradialytic adverse events, and number of IDH episodes requiring intervention between the two phases were assessed.
The mean age of the study population was 52 years (36 males,14 females). The mean post-HD systolic and diastolic BP was 163.26 ± 9.58 mmHg and 88.60 ± 5.27 mmHg in the standard dialysate phase and 142.38 ± 14.09 mmHg and 84.58 ± 4.276 mmHg, respectively, in the low dialysate phase (p < 0.01). Interdialytic weight gain was 3.34 ± 0.9 and 3.11 ± 0.86 in the standard and low sodium dialysate phases, respectively (p = 0.19).The mean pre-HD plasma sodium level was 138.48 ± 3.69 and 135.80 ± 1.35 mEq/dl, respectively, in standard and low dialysate phases (p = 0.01). There was significant reduction in number of IDH episodes requiring intervention. There was no difference in hypotensive episodes, adverse events between the two phases.
In patients with intradialytic hypertension, low dialysate sodium significantly reduces the post-HD blood pressure and intradialytic hypertensive episodes, when compared with standard sodium dialysate. High dialysate sodium is a significant contributor to intradialytic hypertension (IDH) in maintenance hemodialysis patients. In this study, we aimed to study the effect of low dialysate sodium on IDH in Indian hemodialysis patients.BACKGROUNDHigh dialysate sodium is a significant contributor to intradialytic hypertension (IDH) in maintenance hemodialysis patients. In this study, we aimed to study the effect of low dialysate sodium on IDH in Indian hemodialysis patients.Fifty patients on maintenance hemodialysis for atleast 3 months with episodes of IDH were enrolled in this study. The study was performed in two different stages. In the first phase, patients were dialyzed with standard dialysate sodium (140 mEq/L) for eight consecutive sessions and in the second phase, they were dialyzed with low sodium dialysate (136 mEq/L) for eight consecutive sessions. Differences in pre, intradialytic, and post-HD blood pressure, interdialytic weight gain, mean serum sodium, intradialytic adverse events, and number of IDH episodes requiring intervention between the two phases were assessed.MATERIALS AND METHODSFifty patients on maintenance hemodialysis for atleast 3 months with episodes of IDH were enrolled in this study. The study was performed in two different stages. In the first phase, patients were dialyzed with standard dialysate sodium (140 mEq/L) for eight consecutive sessions and in the second phase, they were dialyzed with low sodium dialysate (136 mEq/L) for eight consecutive sessions. Differences in pre, intradialytic, and post-HD blood pressure, interdialytic weight gain, mean serum sodium, intradialytic adverse events, and number of IDH episodes requiring intervention between the two phases were assessed.The mean age of the study population was 52 years (36 males,14 females). The mean post-HD systolic and diastolic BP was 163.26 ± 9.58 mmHg and 88.60 ± 5.27 mmHg in the standard dialysate phase and 142.38 ± 14.09 mmHg and 84.58 ± 4.276 mmHg, respectively, in the low dialysate phase (p < 0.01). Interdialytic weight gain was 3.34 ± 0.9 and 3.11 ± 0.86 in the standard and low sodium dialysate phases, respectively (p = 0.19).The mean pre-HD plasma sodium level was 138.48 ± 3.69 and 135.80 ± 1.35 mEq/dl, respectively, in standard and low dialysate phases (p = 0.01). There was significant reduction in number of IDH episodes requiring intervention. There was no difference in hypotensive episodes, adverse events between the two phases.RESULTSThe mean age of the study population was 52 years (36 males,14 females). The mean post-HD systolic and diastolic BP was 163.26 ± 9.58 mmHg and 88.60 ± 5.27 mmHg in the standard dialysate phase and 142.38 ± 14.09 mmHg and 84.58 ± 4.276 mmHg, respectively, in the low dialysate phase (p < 0.01). Interdialytic weight gain was 3.34 ± 0.9 and 3.11 ± 0.86 in the standard and low sodium dialysate phases, respectively (p = 0.19).The mean pre-HD plasma sodium level was 138.48 ± 3.69 and 135.80 ± 1.35 mEq/dl, respectively, in standard and low dialysate phases (p = 0.01). There was significant reduction in number of IDH episodes requiring intervention. There was no difference in hypotensive episodes, adverse events between the two phases.In patients with intradialytic hypertension, low dialysate sodium significantly reduces the post-HD blood pressure and intradialytic hypertensive episodes, when compared with standard sodium dialysate.CONCLUSIONIn patients with intradialytic hypertension, low dialysate sodium significantly reduces the post-HD blood pressure and intradialytic hypertensive episodes, when compared with standard sodium dialysate. |
| Author | Thamizhselvam, Haripriya Gharia, Shivangi Ramasamy, Ashok Nair, Sanjeev V. Balasubramanian, Karthikeyan Periasamy, Soundararajan |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33733579$$D View this record in MEDLINE/PubMed |
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| References | e_1_2_7_6_1 e_1_2_7_5_1 e_1_2_7_4_1 e_1_2_7_3_1 e_1_2_7_9_1 e_1_2_7_7_1 e_1_2_7_19_1 Van Stone JC (e_1_2_7_8_1) 1980; 26 e_1_2_7_18_1 e_1_2_7_17_1 e_1_2_7_16_1 e_1_2_7_2_1 e_1_2_7_15_1 e_1_2_7_14_1 e_1_2_7_12_1 e_1_2_7_11_1 e_1_2_7_10_1 e_1_2_7_26_1 Dunlop JL (e_1_2_7_31_1) 2019; 1 e_1_2_7_27_1 e_1_2_7_28_1 e_1_2_7_29_1 Ferraboli R (e_1_2_7_23_1) 2002; 211 Farmer C (e_1_2_7_13_1) 2000; 5 e_1_2_7_30_1 e_1_2_7_25_1 e_1_2_7_24_1 e_1_2_7_32_1 e_1_2_7_33_1 e_1_2_7_22_1 e_1_2_7_34_1 e_1_2_7_20_1 Hampl H (e_1_2_7_21_1) 2002; 58 |
| References_xml | – ident: e_1_2_7_32_1 doi: 10.1093/ndt/gfv084 – volume: 26 start-page: 383 year: 1980 ident: e_1_2_7_8_1 article-title: The effect of dialysate sodium concentration on body fluid distribution during hemodialysis publication-title: Trans ‐ Am Soc Artif Intern Organs – ident: e_1_2_7_28_1 doi: 10.3109/0886022X.2013.789961 – ident: e_1_2_7_16_1 doi: 10.2215/CJN.04860709 – ident: e_1_2_7_17_1 doi: 10.1038/ki.2008.484 – ident: e_1_2_7_20_1 doi: 10.1159/000490336 – ident: e_1_2_7_7_1 doi: 10.1007/s10157-008-0065-2 – ident: e_1_2_7_3_1 doi: 10.2215/CJN.11041210 – ident: e_1_2_7_11_1 doi: 10.1053/ajkd.2002.30542 – ident: e_1_2_7_30_1 doi: 10.4103/1319-2442.111025 – volume: 1 start-page: CD011204 issue: 1 year: 2019 ident: e_1_2_7_31_1 article-title: Low dialysate sodium levels for chronic haemodialysis publication-title: Cochrane Database Syst Rev – ident: e_1_2_7_15_1 doi: 10.1046/j.1523-1755.2000.07609.x – ident: e_1_2_7_24_1 doi: 10.1093/ndt/gfr092 – ident: e_1_2_7_2_1 doi: 10.1053/j.ajkd.2009.08.013 – ident: e_1_2_7_19_1 doi: 10.1038/ki.2009.35 – ident: e_1_2_7_29_1 doi: 10.1111/j.1542-4758.2012.00701.x – volume: 5 start-page: 237 issue: 4 year: 2000 ident: e_1_2_7_13_1 article-title: Low‐sodium haemodialysis without fluid removal improves blood pressure control in chronic haemodialysis patients publication-title: Nephrol Ther – ident: e_1_2_7_14_1 doi: 10.1111/j.1523-1755.2004.00876.x – ident: e_1_2_7_5_1 doi: 10.1038/sj.ki.5000266 – ident: e_1_2_7_33_1 doi: 10.1097/MAT.0b013e318033cba7 – ident: e_1_2_7_26_1 doi: 10.1093/ndt/17.8.1463 – ident: e_1_2_7_4_1 doi: 10.1038/sj.ki.5002077 – ident: e_1_2_7_18_1 doi: 10.4103/ijn.IJN_391_18 – ident: e_1_2_7_6_1 doi: 10.1046/j.1523-1755.2002.00150.x – ident: e_1_2_7_12_1 doi: 10.1093/ndt/gfm220 – ident: e_1_2_7_34_1 doi: 10.1046/j.1523-1755.2002.00636.x – volume: 58 start-page: S73 issue: 1 year: 2002 ident: e_1_2_7_21_1 article-title: Regression of left ventricular hypertrophy in hemodialysis patients is possible publication-title: Clin Nephrol – ident: e_1_2_7_9_1 doi: 10.2215/CJN.11351210 – volume: 211 start-page: 13 year: 2002 ident: e_1_2_7_23_1 article-title: Reduction of sodium dialysate for hypertensive HD patients: analysis of beneficial and adverse effects publication-title: J Am Soc Nephrol – ident: e_1_2_7_27_1 doi: 10.1093/ndt/gfn274 – ident: e_1_2_7_10_1 doi: 10.1053/j.ajkd.2014.10.021 – ident: e_1_2_7_22_1 doi: 10.1159/000449452 – ident: e_1_2_7_25_1 doi: 10.1053/j.ajkd.2011.06.030 |
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