Blood Pressure Measurements and Left Ventricular Mass Index in Hemodialysis Patients

Corresponding Author

Robert Ekart

Departments of Dialysis

Assistant Professor Robert Ekart, Department of Dialysis, University Medical Centre Maribor, Ljubljanska 5, SI-2000 Maribor, Slovenia. E-mail: [email protected]Search for more papers by this author

Vojko Kanič,

Vojko Kanič

Cardiology

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Breda Pečovnik-Balon,

Breda Pečovnik-Balon

Nephrology, Clinic for Internal Medicine, University Medical Centre Maribor, Maribor, Slovenia

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Sebastjan Bevc,

Sebastjan Bevc

Departments of Dialysis

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Benjamin Dvoršak,

Benjamin Dvoršak

Nephrology, Clinic for Internal Medicine, University Medical Centre Maribor, Maribor, Slovenia

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Radovan Hojs,

Radovan Hojs

Nephrology, Clinic for Internal Medicine, University Medical Centre Maribor, Maribor, Slovenia

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Robert Ekart,

Corresponding Author

Robert Ekart

Departments of Dialysis

Assistant Professor Robert Ekart, Department of Dialysis, University Medical Centre Maribor, Ljubljanska 5, SI-2000 Maribor, Slovenia. E-mail: [email protected]Search for more papers by this author

Vojko Kanič,

Vojko Kanič

Cardiology

Search for more papers by this author

Breda Pečovnik-Balon,

Breda Pečovnik-Balon

Nephrology, Clinic for Internal Medicine, University Medical Centre Maribor, Maribor, Slovenia

Search for more papers by this author

Sebastjan Bevc,

Sebastjan Bevc

Departments of Dialysis

Search for more papers by this author

Benjamin Dvoršak,

Benjamin Dvoršak

Nephrology, Clinic for Internal Medicine, University Medical Centre Maribor, Maribor, Slovenia

Search for more papers by this author

Radovan Hojs,

Radovan Hojs

Nephrology, Clinic for Internal Medicine, University Medical Centre Maribor, Maribor, Slovenia

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First published: 06 February 2012

https://doi.org/10.1111/j.1525-1594.2011.01401.x

Citations: 4

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Abstract

Left ventricular hypertrophy (LVH) is the most frequent cardiac abnormality in hemodialysis (HD) patients. It is related to cardiovascular diseases and is an important risk factor for mortality in HD patients. Arterial hypertension is an established risk factor for LVH in HD patients. Inferior vena cava (IVC) diameter is a good indicator of circulating fluid volume; hypervolemia is an important pathogenetic factor of hypertension in HD patients. The purpose of our study was to evaluate possible association between LVH, IVC diameter, and different blood pressure (BP) measurements in HD patients. In the present study, 85 HD patients were included. BP was measured with a standard mercury sphygmomanometer before and after the HD session; the average 1-monthly values of the routine BP measurements were also analyzed. 24- and 48-h ambulatory blood pressure measurements (ABPMs) were performed after the end of HD sessions using a noninvasive ABPM. Average values of systolic and diastolic BP were analyzed separately for the first (HD) and second (interdialytic) day ABPM and for both days together. Using echocardiography, left ventricular mass was measured and left ventricular mass index (LVMI) was calculated. Using ultrasonography, IVC diameter was measured on the interdialytic day. Using multiple regression analysis, we found statistically significant correlations between LVMI and mean monthly postdialysis systolic BP (P < 0.05) and mean 48-h diastolic BP (P < 0.05). Only longer BP measurements (average 1-month post-HD and 48-h ABPM) were associated with LVMI in HD patients.

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Volume36, Issue6

June 2012

Pages 517-524

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Blood Pressure Measurements and Left Ventricular Mass Index in Hemodialysis Patients

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