American Journal of Kidney Diseases
Volume 54, Issue 5 , Pages 788-791 , November 2009

Peridialytic, Intradialytic, and Interdialytic Blood Pressure Measurement in Hemodialysis Patients

  • Arjun D. Sinha, MD

      Affiliations

    • Indiana University School of Medicine, Indianapolis, Indiana
  • ,
  • Rajiv Agarwal, MD

      Affiliations

    • Indiana University School of Medicine, Indianapolis, Indiana
    • Richard L. Roudebush VA Medical Center, Indianapolis, Indiana
    • Corresponding Author InformationAddress correspondence to Rajiv Agarwal, MD, VAMC 111N, 1481 W 10th St, Indianapolis, IN 46202

References 

  1. Agarwal R, Nissenson AR, Batlle D, et al. Prevalence, treatment, and control of hypertension in chronic hemodialysis patients in the United States. Am J Med. 2003;115:291–297
  2. Heerspink HJ, Ninomiya T, Zoungas S, et al. Effect of lowering blood pressure on cardiovascular events and mortality in patients on dialysis: a systematic review and meta-analysis of randomised controlled trials. Lancet. 2009;373:1009–1015
  3. Agarwal R, Sinha AD. Cardiovascular protection with antihypertensive drugs in dialysis patients: systematic review and meta-analysis. Hypertension. 2009;53:860–866
  4. Sarnak MJ, Levey AS, Schoolwerth AC, et al. Kidney disease as a risk factor for development of cardiovascular disease: a statement from the American Heart Association Councils on Kidney in Cardiovascular Disease, High Blood Pressure Research, Clinical Cardiology, and Epidemiology and Prevention. Circulation. 2003;108:2154–2169
  5. Foley RN, Agarwal R. Hypertension is harmful to dialysis patients and should be controlled. Semin Dial. 2007;20:518–522
  6. Agarwal R. Hypertension and survival in chronic hemodialysis patients—past lessons and future opportunities. Kidney Int. 2005;67:1–13
  7. Agarwal R. Systolic hypertension in hemodialysis patients. Semin Dial. 2003;16:208–213
  8. Agarwal R, Peixoto AJ, Santos SF, et al. Pre and post dialysis blood pressures are imprecise estimates of interdialytic ambulatory blood pressure. Clin J Am Soc Nephrol. 2006;1:389–398
  9. Li Z, Lacson E, Lowrie EG, et al. The epidemiology of systolic blood pressure and death risk in hemodialysis patients. Am J Kidney Dis. 2006;48:606–615
  10. Lacson E, Lazarus JM. The association between blood pressure and mortality in ESRD—not different from the general population?. Semin Dial. 2007;20:510–517
  11. National Kidney Foundation. K/DOQI Clinical Practice Guidelines for Cardiovascular Disease in Dialysis Patients. Am J Kidney Dis. 2005;45(4 suppl 3):S1–S153
  12. Port FK, Hulbert-Shearon TE, Wolfe RA, et al. Predialysis blood pressure and mortality risk in a national sample of maintenance hemodialysis patients. Am J Kidney Dis. 1999;33:507–517
  13. Zager PG, Nikolic J, Brown RH, et al. “U” Curve association of blood pressure and mortality in hemodialysis patients. Kidney Int. 1998;54:561–569[published erratum appears in Kidney Int. 1998;Oct;54(4):1417]
  14. Agarwal R, Andersen MJ, Bishu K, et al. Home blood pressure monitoring improves the diagnosis of hypertension in hemodialysis patients. Kidney Int. 2006;69:900–906
  15. Rohrscheib MR, Myers OB, Servilla KS, et al. Age-related blood pressure patterns and blood pressure variability among hemodialysis patients. Clin J Am Soc Nephrol. 2008;3:1407–1414
  16. Agarwal R, Brim NJ, Mahenthiran J, et al. Out-of-hemodialysis-unit blood pressure is a superior determinant of left ventricular hypertrophy. Hypertension. 2006;47:62–68
  17. Alborzi P, Patel N, Agarwal R. Home blood pressures are of greater prognostic value than hemodialysis unit recordings. Clin J Am Soc Nephrol. 2007;2:1228–1234
  18. Davenport A, Cox C, Thuraisingham R. Achieving blood pressure targets during dialysis improves control but increases intradialytic hypotension. Kidney Int. 2007;73:759–764
  19. Agarwal R, Metiku T, Tegegne GG, et al. Diagnosing hypertension by intradialytic blood pressure recordings. Clin J Am Soc Nephrol. 2008;3:1364–1372
  20. Peixoto AJ, White WB. Circadian blood pressure: clinical implications based on the pathophysiology of its variability. Kidney Int. 2007;71:855–860
  21. Thompson AM, Pickering TG. The role of ambulatory blood pressure monitoring in chronic and end-stage renal disease. Kidney Int. 2006;70:1000–1007
  22. Agarwal R. Role of home blood pressure monitoring in hemodialysis patients. Am J Kidney Dis. 1999;33:682–687
  23. Peixoto AJ, Gray TA, Crowley ST. Validation of the SpaceLabs 90207 ambulatory blood pressure device for hemodialysis patients. Blood Press Monit. 1999;4:217–221
  24. Peixoto AJ, Santos SF, Mendes RB, et al. Reproducibility of ambulatory blood pressure monitoring in hemodialysis patients. Am J Kidney Dis. 2000;36:983–990
  25. Agarwal R, Andersen MJ, Light RP. Location not quantity of blood pressure measurements predicts mortality in hemodialysis patients. Am J Nephrol. 2007;28:210–217
  26. Kelley K, Light RP, Agarwal R. Trended cosinor change model for analyzing hemodynamic rhythm patterns in hemodialysis patients. Hypertension. 2007;50:143–150
  27. Agarwal R, Light RP. Chronobiology of arterial hypertension in hemodialysis patients: implications for home blood pressure monitoring. Am J Kidney Dis. 2009;54:693–701
  28. Agarwal R, Satyan S, Alborzi P, et al. Home blood pressure measurements for managing hypertension in hemodialysis patients. Am J Nephrol. 2009;30:126–134
  29. Inrig JK, Patel UD, Toto RD. Association of blood pressure increases during hemodialysis with 2-year mortality in incident hemodialysis patients: a secondary analysis of the Dialysis Morbidity and Mortality Wave 2 Study. Am J Kidney Dis. 2009;54:881–890
  30. Inrig JK, Patel UD, Gillespie BS, et al. Relationship between interdialytic weight gain and blood pressure among prevalent hemodialysis patients. Am J Kidney Dis. 2007;50:108–118
  31. Chou KJ, Lee PT, Chen CL, et al. Physiological changes during hemodialysis in patients with intradialysis hypertension. Kidney Int. 2006;69:1833–1838
  32. Agarwal R. Exploring the paradoxical relationship of hypertension with mortality in chronic hemodialysis. Hemodial Int. 2004;8:207–213
  33. Agarwal R. Volume-associated ambulatory blood pressure patterns in hemodialysis patients. Hypertension. 2009;54:241–247
  34. Satyan S, Light RP, Agarwal R. Relationships of N-terminal pro-B-natriuretic peptide and cardiac troponin T to left ventricular mass and function and mortality in asymptomatic hemodialysis patients. Am J Kidney Dis. 2007;50:1009–1019
  35. Agarwal R, Light RP. Arterial stiffness and interdialytic weight gain influence ambulatory blood pressure patterns in hemodialysis patients. Am J Physiol Renal Physiol. 2007;294:F303–F308
  36. Pickering TG, Miller NH, Ogedegbe G, et al. Call to action on use and reimbursement for home blood pressure monitoring: a joint scientific statement from the American Heart Association, American Society of Hypertension, and Preventive Cardiovascular Nurses Association. Hypertension. 2008;52:10–29
  37. Agarwal R. How should hypertension be assessed and managed in hemodialysis patients? (Home BP, not dialysis unit BP, should be used for managing hypertension). Semin Dial. 2007;20:402–405

 This is a US Government Work. There are no restrictions on its use.

PII: S0272-6386(09)00973-1

doi: 10.1053/j.ajkd.2009.07.004

American Journal of Kidney Diseases
Volume 54, Issue 5 , Pages 788-791 , November 2009