Document Detail

Control of hypertension and prolonged survival on maintenance hemodialysis.
MedLine Citation:
PMID:  6835466     Owner:  NLM     Status:  MEDLINE    
52 patients started dialysis in our center prior to 1971. When this study ended in December 1980, 8 patients had been lost to follow-up, and 7 had died, none of stroke or myocardial infarction. The overall actuarial survival rate was 85% at 10 years. For all patients treatment consisted of a long (24-30h/week) slow hemodialysis on standard Kiil dialysers throughout the 10 years. Good blood pressure (BP) control was achieved by a strict maintenance of dry weight alone (low salt diet, but no antihypertensive drug), even in 12 patients dialyzing only twice a week. This population remained completely free of both myocardial infarctions and cerebrovascular accidents. This experience suggests that if BP is well controlled, accelerated atherosclerosis is not the inevitable complication of long-term hemodialysis. The authors believe that the long, slow dialysis technique they use is the key to the good BP control achieved uniformly in this series.
B Charra; E Calemard; M Cuche; G Laurent
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nephron     Volume:  33     ISSN:  0028-2766     ISO Abbreviation:  Nephron     Publication Date:  1983  
Date Detail:
Created Date:  1983-05-27     Completed Date:  1983-05-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0331777     Medline TA:  Nephron     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  96-9     Citation Subset:  IM    
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MeSH Terms
Hypertension / prevention & control*
Kidney Failure, Chronic / mortality,  therapy
Middle Aged
Renal Dialysis / mortality*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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