Hypertension; Dialysis; Dry weight Sažetak Background: The control of blood pressure has been one of the main problems of dry weight management on the basis that fluid accumulation predisposes to hypertension in the end stage renal disease patients. Non-invasive bioimpedance spectroscopy with a body composition model has been validated against other methods to assess fluid status.
Aim: To evaluate the deviation in hydration status from normal journal of hypertension ΔHS as the cause of hypertension in the patients on the maintenance hemodialysis HD and to identify the different patient groups that result from measurements of pre-dialysis journal of hypertension blood pressure BPsys and ΔHS alone.
Patients with a pacemaker or implanted defibrillator, amputation of a major extremity, pregnancy or lactation period were excluded.
BPsys is measured using the Riva-Rocci-Korotkoff method mercury sphygmomanometer after 5 minutes of rest. Both measurements were done with the patient in the supine position. The average of the two last measurements by sphygmomanometer was used in the analysis.
The data were used to generate a graphical tool HRP-hydration reference plot which allows rapid differentiation between hypotensive and hypertensive patients as well as distinguishing fluid overload from the state of normohydration. Conclusion: The multifrequency bioimpedance spectroscopy method allows detecting of fluid overload in a safe and easy manner.
According to this, more objective choice of strategies for the optimal treatment of hypertension and fluid overload in the maintenance HD patients can be selected.