Intradialysis hypotension and its prevention by relative blood volume monitoring, Review
Abstract
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.
About the Authors
A. G. Strokov
V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, Ministry of Health and Social Development of the Russian Federation, Moscow
Russian Federation
Russian Federation
V. A. Terekhov
V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, Ministry of Health and Social Development of the Russian Federation, Moscow
Russian Federation
Russian Federation
V. A. Gavrilin
V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, Ministry of Health and Social Development of the Russian Federation, Moscow
Russian Federation
Russian Federation
Y. L. Poz
V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, Ministry of Health and Social Development of the Russian Federation, Moscow
Russian Federation
Russian Federation
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Review
For citations:
Strokov A.G., Terekhov V.A., Gavrilin V.A., Poz Y.L. Intradialysis hypotension and its prevention by relative blood volume monitoring, Review. Nephrology and Dialysis. 2010;12(4):250-253. (In Russ.)
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