Hemodynamic Changes in Hemodialysis Patient
Authors/Creators
- 1. Medical Specialist U-CHC, Laxmiganj, Gwalior, Madhya Pradesh
- 2. DNB Resident Final Year, Dept. of Medicine, Swami Dayanand General Hospital Shahdara New Delhi
- 3. AMO, District Hospital, Chhindwara
- 4. Assistant Professor, Department of Medicine, CIMS, Chhindwara
Description
Objective: To study the evaluation of hemodynamic during haemodialysis and to determine the frequency of haemodialysis induced hypotension & myocardial ischemia. Methods: This study was conducted in the Department of Medicine CIMS Chhindwara during a period from September 2020 to October 2022. To assess various complication seen during HD. Present study includes a sum total 300 patients selection on random sampling method. Out of 300 patients there were 129 ARF/AKI and their haemodynamics were studied and results derived. Results: Eleven of the 21 patients experienced a hypotensive period (H group) during dialysis, while the remaining 10 patients had no such event (NH group). Age, dry weight, time on dialysis, interdialytic weight gain, ultrafiltration rate/kg dry weight, and medication were comparable between the two groups. Before dialysis systolic arterial pressure appeared to be lower in the H group, although this was not significant (127±26 vs.151±46 mmHg. Baseline values in both groups for heart rate, SI, TPRI and CVP also did not show any significant differences. Most hypotensive patients developed severe symptoms, which necessitated intervention. Conclusion: We conclude that dialysis related hypotension in our patient group did not result from an inability to maintain blood volume or from decreased cardiac filling. Hypotension appeared to result from the inability to adequately increase arteriolar tone and a reduction in left ventricular function.
Abstract (English)
Objective: To study the evaluation of hemodynamic during haemodialysis and to determine the frequency of haemodialysis induced hypotension & myocardial ischemia. Methods: This study was conducted in the Department of Medicine CIMS Chhindwara during a period from September 2020 to October 2022. To assess various complication seen during HD. Present study includes a sum total 300 patients selection on random sampling method. Out of 300 patients there were 129 ARF/AKI and their haemodynamics were studied and results derived. Results: Eleven of the 21 patients experienced a hypotensive period (H group) during dialysis, while the remaining 10 patients had no such event (NH group). Age, dry weight, time on dialysis, interdialytic weight gain, ultrafiltration rate/kg dry weight, and medication were comparable between the two groups. Before dialysis systolic arterial pressure appeared to be lower in the H group, although this was not significant (127±26 vs.151±46 mmHg. Baseline values in both groups for heart rate, SI, TPRI and CVP also did not show any significant differences. Most hypotensive patients developed severe symptoms, which necessitated intervention. Conclusion: We conclude that dialysis related hypotension in our patient group did not result from an inability to maintain blood volume or from decreased cardiac filling. Hypotension appeared to result from the inability to adequately increase arteriolar tone and a reduction in left ventricular function.
Files
IJPCR,Vol15,Issue7,Article50.pdf
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Additional details
Dates
- Accepted
-
2023-07-09
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue7,Article50.pdf
- Development Status
- Active
References
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