Avtor/Urednik     Premru, Vladimir
Naslov     Arterijski krvni tlak pri bolnikih, zdravljenih s peritonealno dializo in s hemodializo
Tip     monografija
Kraj izdaje     Ljubljana
Založnik     Medicinska fakulteta
Leto izdaje     2002
Obseg     str. 48
Jezik     slo
Abstrakt     Arterial hypertension is one of the most important risk factors for the development of cardiovascular complications and high mortality in end-stage renal failure. Arterial hypertension is present in 80100 % of patients at the time they reach end-stage renal failure. Also, a high percentage of patients (40-87%) remained hypertensive while on hemodialysis. Results of most studies indicated that peritoneal dialysis was superior to hemodialysis in the management of arterial hypertension. However, results of the noninvasive continuous ambulatory blood pressure monitoring used in some of the more recent studies of arterial hypertension in dialysis patients suggest that casual sphygmomanometric blood pressure measurements underestimated the prevalence of arterial hypertension on peritoneal dialysis. These results have challenged the view that blood pressure was better regulated on peritoneal dialysis. The aim of our study was to confirm the hypothesis that blood pressure in hemodialysis patients was not signifficantly higher than in peritoneal dialysis patients and that the proportion of hypertensive patients was not signifficantly higher on hemodialysis than on peritoneal dialysis. Also, we assumed that the method of continuous noninvasive ambulatory blood pressure monitoring would discover arterial hypertension in both groups of patients more often than the casual sphygritomanometric measurements. Casual sphygmomanometric blood pressure and noninvasive ambulatory blood pressure values of 29 patients on hemodialysis were compared to the respective blood pressure values of 36 patients on peritoneal dialysis. There were no statistically signifficant differences between groups as regards the blood pressure levels and the proportion of hypertensive patients except the higher systolic casual blood pressure values in hemodialysis patients. (Abstract truncated at 2000 characters).
Deskriptorji     KIDNEY FAILURE, CHRONIC
HEMODIALYSIS
PERITONEAL DIALYSIS
HYPERTENSION
BLOOD PRESSURE DETERMINATION
BLOOD PRESSURE MONITORING, AMBULATORY