Prevalenza e controllo dell'ipertensione arteriosa nei pazienti in trattamento emodialitico cronico: risultati di un audit clinico monocentrico.

Translated title of the contribution: [Prevalence and control of hypertension in chronic hemodialysis patients: results of a single-centre clinical audit].

Antonio Del Giudice, Antonio Cicchella, Giuseppe Di Giorgio, Matteo Piemontese, Michele Prencipe, Andrea Fontana, Massimiliano Copetti, Fabio Pellegrini, Filippo Aucella

Research output: Contribution to journalArticle

Abstract

Hypertension (HTN) is very common in chronic hemodialysis patients, with a prevalence of 72%, a very poor control and an annual mortality of 23%. We report the results of a clinical audit on prevalence and control of HTN in our hemodialysis patients. The following parameters in a cohort of 89 patients were assessed in one-month observational study, conducted in October 2010: blood pressure (BP) before the beginning (preHD BP) and after the end of the treatment (postHD BP), age, sex, comorbidity, serum hemoglobin (Hb) levels, plasma and dialysate sodium levels, interdialytic weight gain (IWG), serum parathyroid hormone (PTH) levels, prescription of erythropoiesis stimulating agents (ESA) and of antihypertensive drugs. In agreeement to the current guidelines, patients with preHD BP ≤140/90 mmHg and postHD BP ≤130/80 mmHg were considered normortensive. Forty-nine patients (55%) were found to be hypertensive. The following comorbidities, graded as 1+ to 3+, were detected: ischemic/hypertrophic cardiopathy, dyslipidemia, peripheral arteriopathy, diabetes mellitus. Only 14.3% of patients achieved both preHD and postHD BP targets. Compared to patients whose BP was not controlled, those achieving BP targets were younger, had lower dialysate sodium levels and showed a greater IWG. No significant difference there was in serum Hb levels, plasma sodium levels, serum PTH levels, prescription of antihypertensive drugs and ESA. Our data confirm the high prevalence of HTN and the unsatisfactory BP control in hemodialysis patients. A low-salt diet, probing for dry-weight and the antihypertensive medication may help to achieve the BP control.

Translated title of the contribution[Prevalence and control of hypertension in chronic hemodialysis patients: results of a single-centre clinical audit].
Original languageItalian
Pages (from-to)230-237
Number of pages8
JournalGiornale italiano di nefrologia : organo ufficiale della Società italiana di nefrologia
Volume29
Issue number2
Publication statusPublished - Mar 2012

ASJC Scopus subject areas

  • Nephrology

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