Document Detail


High water evaporation rate is associated with low blood pressure in chronic peritoneal dialysis patients.
MedLine Citation:
PMID:  20522671     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The relationship between water evaporation rate (WER) and blood pressure (BP) in continuous ambulatory peritoneal dialysis (CAPD) patients has not been addressed before. This study was undertaken to evaluate the effects of WER on the BP and body weight (BW) of end-stage renal disease patients treated with CAPD.
METHODS: Based on mean WER of each month, the year 2005 was divided into "high WER" and "low WER" stages. This study enrolled 66 CAPD patients at our center during 2005. The BP and BW of each patient were collected monthly. WER was measured with a class A evaporation pan.
RESULTS: Compared to the high WER stage, CAPD patients had higher BP (systolic: 142 ± 29 vs 134 ± 27 mmHg, p < 0.001; diastolic: 86 ± 17 vs 84 ± 16 mmHg, p < 0.001) and BW (56.8 ± 10.2 vs 56.1 ± 10.2 kg, p < 0.001) in the low WER stage. Ambient temperature was significantly higher in the high WER stage (p = 0.004) and it was also positively correlated with WER (r = 0.82, p = 0.0012). Both mean BP (r = -0.72, p = 0.0089) and BW (r = -0.79, p = 0.002) showed inverse relationships to the WER. Moreover, both mean BP (r = -0.95, p < 0.001) and BW (r = -0.90, p < 0.001) also showed negative linear regressions to ambient temperature. There was a positive linear regression between mean BP and BW (r = 0.85, p = 0.0004). Multiple linear regression analysis found that WER (β = -0.672, p = 0.026) was an independent factor correlated to patients' mean BP.
CONCLUSIONS: CAPD patients had lower BP and BW in the high WER stage. These decreases were associated with higher ambient temperature and WER. We hypothesize that increased insensible salt and fluid loss secondary to high WER during hot seasons, especially in subtropical areas, ameliorates the hypervolemia and hypertension in CAPD patients.
Authors:
Jyh-Chang Hwang; Wei-Chih Kan; Charn-Ting Wang
Publication Detail:
Type:  Journal Article     Date:  2010-06-03
Journal Detail:
Title:  Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis     Volume:  31     ISSN:  1718-4304     ISO Abbreviation:  Perit Dial Int     Publication Date:    2011 Jan-Feb
Date Detail:
Created Date:  2011-02-01     Completed Date:  2011-12-30     Revised Date:  2012-08-08    
Medline Journal Info:
Nlm Unique ID:  8904033     Medline TA:  Perit Dial Int     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  48-52     Citation Subset:  IM    
Affiliation:
Division of Nephrology, Chi Mei Medical Center, Tainan, Taiwan. alfonjch@seed.net.tw
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Blood Pressure*
Body Weight*
Female
Humans
Humidity*
Male
Middle Aged
Peritoneal Dialysis, Continuous Ambulatory*
Retrospective Studies
Young Adult

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


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