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Debate from the 2012 ASH Annual Scientific Sessions: should blood pressure be reduced in hemodialysis patients? con position.
MedLine Citation:
PMID:  23127361     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The relationship between blood pressure and cardiovascular events in hemodialysis patients is complicated and controversial. The timing of blood pressure measurements (home, before dialysis, after dialysis, during dialysis) provide somewhat different results. Moreover, the use of antihypertensive medications may also confound the relationship between blood pressure and cardiovascular outcome. Most important may be the relationship between central blood volume/pressure and risk for cardiac events, specifically for congestive heart failure and sudden death. Achieving dry-weight during dialysis as opposed to a specific blood pressure level is the optimal strategy for reducing cardiovascular events in the hemodialysis patient.
Authors:
Matthew R Weir
Publication Detail:
Type:  EDITORIAL     Date:  2012-11-3
Journal Detail:
Title:  Journal of the American Society of Hypertension : JASH     Volume:  -     ISSN:  1878-7436     ISO Abbreviation:  J Am Soc Hypertens     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101312518     Medline TA:  J Am Soc Hypertens     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 American Society of Hypertension. Published by Elsevier Inc. All rights reserved.
Affiliation:
University of Maryland School of Medicine, Baltimore, MD. Electronic address: mweir@medicine.umaryland.edu.
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