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- Title
Treatment of post-dialytic orthostatic hypotension with an inflatable abdominal band in hemodialysis patients.
- Authors
Yamamoto, N.; Sasaki, E.; Goda, K.; Nagata, K.; Tanaka, H.; Terasaki, J.; Yasuda, H.; Imagawa, A.; Hanafusa, T.
- Abstract
The purpose of this study was to ascertain whether abdominal compression with an inflatable abdominal band, a device we developed, improved post-dialytic orthostatic hypotension (OH) in hemodialysis (HD) patients. Twenty-five chronic HD patients with intractable post-dialytic OH were recruited. Post-HD changes in systolic blood pressure (ΔSBP) in the supine and standing positions were compared in the patients, measured with or without the use of the band. The study showed ΔSBP after HD without the band was significantly greater than that measured before HD (−36.1±18.2 vs −13.1±16.8 mm Hg; P<0.0001). ΔSBP after HD with the band was reduced significantly in comparison to ΔSBP after HD without the band (−19.4±21.2 vs −36.1±18.2 mm Hg; P<0.002). Use of the band did not cause an elevation in SBP in the supine position (149.0±29.6 vs 155.4±25.7 mm Hg); however, it did increase SBP upon standing (129.6±27.3 vs 117.2±22.6 mm Hg; P<0.05). Eight patients in whom an increase in SBP of 25 mm Hg or more was achieved with the band were classified as responders. Ejection fraction was significantly higher (76.4±11.1 vs 61.9±13.6%; P<0.02) and atrial natriuretic peptide concentration significantly lower (27.9±22.0 vs 68.9±47.5 pg/ml; P<0.02) in responders than in non-responders. We conclude that the abdominal band was effective for overcoming post-dialytic OH, without elevating supine SBP in some patients.Kidney International (2006) 70, 1793–1800. doi:10.1038/sj.ki.5001852; published online 27 September 2006
- Subjects
HEMODIALYSIS patients; ORTHOSTATIC hypotension; POLYCYSTIC kidney disease; HEMODYNAMICS; ABDOMINAL compression reaction; ARTIFICIAL blood circulation; GLOMERULONEPHRITIS
- Publication
Kidney International, 2006, Vol 70, Issue 10, p1793
- ISSN
0085-2538
- Publication type
Article
- DOI
10.1038/sj.ki.5001852