nidНефрология и диализNephrology and Dialysis1680-44222618-9801Российское диализное обществоnid-1008Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESИнтрадиализная артериальная гипотензия и ее профилактика при помощи мониторинга относительного объема крови (Обзор литературы)Intradialysis hypotension and its prevention by relative blood volume monitoring, ReviewСтроковА. Г.StrokovA. G.medick@bk.ruТереховВ. А.TerekhovV. A.noemail@neicon.ruГаврилинВ. А.GavrilinV. A.noemail@neicon.ruПозЯ. Л.PozY. L.noemail@neicon.ruФГУ «Федеральный научный центр трансплантологии и искусственных органов им. академика В.И. Шумакова» Минздравсоцразвития РФ, МоскваРоссияV.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, Ministry of Health and Social Development of the Russian Federation, MoscowRussian Federation201017062025124250253Copyright © Строков А.Г., Терехов В.А., Гаврилин В.А., Поз Я.Л., 20252025Строков А.Г., Терехов В.А., Гаврилин В.А., Поз Я.Л.Strokov A.G., Terekhov V.A., Gavrilin V.A., Poz Y.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.nephro.ru/jour/article/view/1008

Пациенты на программном гемодиализе отличаются высокой смертностью от сердечно-сосудистой патологии, одним из компонентов которой является сердечная недостаточность (СН). Важную роль в развитии СН играют повторяющиеся эпизоды ишемии миокарда вследствие интрадиализной гипотензии при уменьшении внутрисосудистого объема на фоне быстрой ультрафильтрации. Изучение динамики относительного объема крови (ООК) в ходе диализа с помощью специальных мониторов позволяет в режиме реального времени отслеживать изменение внутрисосудистого объема и оценивать эффективность мероприятий, направленных на поддержание его постоянства. В этом направлении наиболее перспективными представляются системы автоматического регулирования параметров процедуры, однако для их разработки необходимы дальнейшие исследования.

It is well recognized that haemodialysis patients display highly elevated rates of cardiac mortality. One of the main causes of mortality is heart failure (HF). Myocardial ischemia due to repeated hypotension events during rapid ultrafiltration and depletion of intravascular volume (IV) play important role in the HF genesis. Monitoring of the relative blood volume (RBV) allows one to control IV changes and to evaluate effectiveness of measures of IV maintenance. Automatic feedback systems that control certain haemodyalisis parameters in response to changes in RBV are promising. However further investigations are needed for their adaptation.

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The authors declare that there are no conflicts of interest present.