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conferenceseries.com
Volume 3, Issue 3 (Suppl) J Kidney, an open access journal
ISSN:2472-1220 Kidney & Nephrology 2017
August 28-30, 2017
August 28-30, 2017 Philadelphia, USA
15th Annual Congress on
Kidney: Nephrology & Therapeutics
Evaluation of arterial hypertension in chronic kidney patients on hemodialysis and peritoneal
dialysis
Rodrigo de Oliveira Pierami
Pontifical Catholic University of São Paulo, Brazil
High Blood Pressure (HBP) is a common finding in patients with chronic kidney disease on dialyses. This research analyzed
the relation between blood pressure (BP) and hydration status (HS) in chronic kidney patients under hemodialysis (HD)
and peritoneal dialysis (PD) in a Brazilian Dialysis Center. Demographic data, BP, number of antihypertensive drugs (NAD)
and HS by bioimpendance examwere collected from 89 patients (69 in HD; 20 in PD). There were findings of 55.1% of men, age
between 57.6±16.4 years old, Caucasian ethnicity (80.9%), usage of 2.4±1.2 hypotension drugs in HD, 1.7±1.4 in PD. Systolic
Blood Pressure (SBP)<140 mmHg in 27.5% patients before HD, in 40.6% after HD and in 55% under PD. Diastolic Blood
Pressure <90 mmHg in 81.2%, 79.7% and 85% respectively. 43.8% with mean blood pressure (MBP)>100 mmHg (86.9±9.9
mmHg) and OH 0.5±2.5 liters. 56.2% with MBP>100 mmHg (114.7±11.9 mmHg; p=0.0001) and OH of 1.5±2.7 liters (p=0.06
between the groups). When pre-dialysis SBP and HS were combined, the patients were stratified in 4 groups: Group-1; 40.4%
HBP can relate to hyperhydration; Group-2; 24.71%, HBP is independent of hyperhydration; Group-3; 19.1%, in which 9% are
hypohydrated and low blood pressure; Group-4; 15.7%, in which 12.3% are normohydrated and normotensive and 3.4% are
hyperhydrated, though normotensive or arterial hypotension. HS was normal in 22.5%. In this research, there was noted the
difficulty of controlling BP in these patients despite the use of expressive NAD and no relation between HS and MBP.
Biography
Rodrigo de Oliveira Pierami is currently a Medical student at Pontifical Catholic University of São Paulo, Brazil. He is a Former Member of Vital Brazil Student
Council and Organizer of the XVI International Journey of Geriatric and Gerontology (2015). He did Internship at Hôpital Saint Vincent de Paul, Université
Catholique de Lille, France (2016).
Rodrigo de Oliveira Pierami, J Kidney 2017, 3:3 (Suppl)
DOI: 10.4172/2472-1220-C1-002