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T P Mann
No abstract text is available yet for this article.
April 1969: Proceedings of the Royal Society of Medicine
S B Christie
No abstract text is available yet for this article.
July 1968: Proceedings of the Royal Society of Medicine
Aldo J Peixoto, Sergio F F Santos
PURPOSE OF REVIEW: To review recent developments in the field of hypertension in hemodialysis patients. RECENT FINDINGS: Despite the fact that hypertension is the most common complication of end-stage kidney disease, no evidence-based blood pressure (BP) targets exist for hemodialysis patients. There is growing evidence that outcomes are better predicted by out-of-office BP values, such as home or ambulatory BP monitoring. Intradialytic hypertension is associated with increased risk of death or hospitalization, and is probably mediated by volume overload...
November 2010: Current Opinion in Nephrology and Hypertension
F Locatelli, S Colzani, M D'Amico, C Manzoni, S Di Filippo
In order to reduce intradialytic and interdialytic morbidity, it is important to obtain a zero sodium balance at the end of each dialysis session. This can be achieved by matching exactly the interdialytic sodium and water intake with the intradialytic sodium and water removal. A positive sodium balance can be obtained by using hypernatric dialysis or "sodium ramping" or convective techniques. While reducing the intradialytic side effects (hypotension, cramps, nausea, vomiting), these methods may increase the interdialytic side effects (thirst, weight gain, hypertension and pulmonary edema)...
July 2001: Saudi Journal of Kidney Diseases and Transplantation
Francesco Locatelli, Adrian Covic, Charles Chazot, Karel Leunissen, José Luño, Mohammed Yaqoob
UNLABELLED: Introduction. From the beginning of the dialysis era, the most appropriate composition of the dialysate has been one of the central topics in the delivery of dialysis treatment. METHODS: A discussion is employed to achieve a consensus on key points relating to the composition of the dialysate, focusing on the relationships with blood pressure behaviour. RESULTS: Sodium balance is the cornerstone of intra-dialysis cardiovascular stability and good inter-dialysis blood pressure control...
April 2004: Nephrology, Dialysis, Transplantation
A Sklar, N Newman, R Scott, L Semenyuk, J Schultz, V Fiacco
Ultrafiltration, diffusion, osmotic shifts, blood-membrane interactions, and psychological factors have all been implicated in the pathogenesis of postdialysis fatigue (PDF). To identify responsible factors, we performed a prospective, randomized, crossover analysis of fatigue scores (scale, 0 to 4) in 12 maintenance hemodialysis subjects with PDF. Fatigue scores were evaluated on nondialysis days (baseline) and after the following procedures on midweek treatment days: standard dialysis using either a 135- to 140-mEq/L sodium bath (routine hemodialysis) or a 150- to 155-mEq/L sodium bath (hypernatric hemodialysis); isolated ultrafiltration; isolated diffusion; and sham procedures with (isolated membrane) or without (recirculation) exposure to a dialysis membrane...
September 1999: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
D J Williams, J Jugurnauth, K Harding, R G Woolfson, M A Mansell
Five patients on maintenance haemodialysis were exposed to varying degrees of hypernatric dialysate, leading to acute hypernatraemia (plasma sodium concentrations 158 mmol/l to 179 mmol/l). With the exception of one patient, who developed pulmonary oedema, symptoms were minimal and in each case hypernatraemia was corrected without residual complications. The hypernatric dialysate resulted from a granular and less soluble batch of sodium bicarbonate powder. The extra effort required to dissolve the powder caused CO2 to be shaken out of solution, producing sodium carbonate and raising the pH...
1994: Nephrology, Dialysis, Transplantation
H J Kramer, B Lichardus
Twenty-five years after the discoveries of the existence of atrial granules and of volume receptors in the heart atria the search for natriuretic hormones has led to the isolation and identification of the atrial natriuretic factors (ANF) now considered as a hormonal system. These peptides are probably synthesized and stored in the Golgi apparatus of cardiac myocytes and are released in response to atrial wall stretch following acute plasma volume expansion and increased central blood volume, e.g., during head-out water immersion, in arterial hypertension, or increased left and/or right atrial pressure in cardiac failure, but also possibly in response to increased frequency of myocardial contractions, e...
August 15, 1986: Klinische Wochenschrift
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