The effects of strict salt control on blood pressure and cardiac condition in end-stage renal disease: Prospective-study

Introduction: Overhydration is the main contributory factor of left ventricular hypertrophy and closely associated with cardiovascular events in end stage renal disease (ESRD) patients. The aim of this prospective-study was to investigate the impact of strict salt and volume control on hypertension and cardiac condition in ESRD patients. Methods: A total of 12 peritoneal dialysis (PD) and 15 prevalent hemodialysis (HD) patients were enrolled. All patients either PD or HD were allocated to intervention of strict salt restriction according to basal hydration state of empty abdomen in PD and midweek predialysis HD which were estimated by body composition monitor (BCM) and echocardiography. Results: Mean ages were 48.3±16.7 years for PD, and 48.8±18 for HD patients. Extracellular water/height was 10.04±2.70 and 10.39±1.53L/m in PD and HD groups. Systolic blood pressures decreased in PD and HD from 133.1±28 and 147.3±28.5 to 114.8±16.5 and 119.3±12.1mmHg, respectively, (p<0.00). IDKA/DW were decreased from 3.26±1.6 to 2.97±1.63 % in HD group (p>0.05). LVMI and LAI were not increased in both groups. Conclusion: Strict salt and volume control in ESRD patients after assessment of hydration status with either using BCM or echocardiography provides better management of volume control leading to more precise cardiovascular protection. © 2013 Informa Healthcare USA, Inc.

Yazar Magden K.
Hur E.
Yildiz G.
Kose S.B.
Bicak S.
Yildirim I.
Sayin M.R.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/8053
Tek Biçim Adres 10.3109/0886022X.2013.828259
Konu Başlıkları Cardiac condition
End stage renal disease
Hypervolemia
Strict salt control
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı Renal Failure
Dergi Cilt Bilgisi 35
Dergi Sayısı 10
Sayfalar 1344 - 1347
Yayın Yılı 2013
Eser Adı
[dc.title]
The effects of strict salt control on blood pressure and cardiac condition in end-stage renal disease: Prospective-study
Yazar
[dc.contributor.author]
Magden K.
Yazar
[dc.contributor.author]
Hur E.
Yazar
[dc.contributor.author]
Yildiz G.
Yazar
[dc.contributor.author]
Kose S.B.
Yazar
[dc.contributor.author]
Bicak S.
Yazar
[dc.contributor.author]
Yildirim I.
Yazar
[dc.contributor.author]
Sayin M.R.
Yayın Yılı
[dc.date.issued]
2013
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Introduction: Overhydration is the main contributory factor of left ventricular hypertrophy and closely associated with cardiovascular events in end stage renal disease (ESRD) patients. The aim of this prospective-study was to investigate the impact of strict salt and volume control on hypertension and cardiac condition in ESRD patients. Methods: A total of 12 peritoneal dialysis (PD) and 15 prevalent hemodialysis (HD) patients were enrolled. All patients either PD or HD were allocated to intervention of strict salt restriction according to basal hydration state of empty abdomen in PD and midweek predialysis HD which were estimated by body composition monitor (BCM) and echocardiography. Results: Mean ages were 48.3±16.7 years for PD, and 48.8±18 for HD patients. Extracellular water/height was 10.04±2.70 and 10.39±1.53L/m in PD and HD groups. Systolic blood pressures decreased in PD and HD from 133.1±28 and 147.3±28.5 to 114.8±16.5 and 119.3±12.1mmHg, respectively, (p<0.00). IDKA/DW were decreased from 3.26±1.6 to 2.97±1.63 % in HD group (p>0.05). LVMI and LAI were not increased in both groups. Conclusion: Strict salt and volume control in ESRD patients after assessment of hydration status with either using BCM or echocardiography provides better management of volume control leading to more precise cardiovascular protection. © 2013 Informa Healthcare USA, Inc.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Cardiac condition
Konu Başlıkları
[dc.subject]
End stage renal disease
Konu Başlıkları
[dc.subject]
Hypervolemia
Konu Başlıkları
[dc.subject]
Strict salt control
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0886022X
İlk Sayfa Sayısı
[dc.identifier.startpage]
1344
Son Sayfa Sayısı
[dc.identifier.endpage]
1347
Dergi Adı
[dc.relation.journal]
Renal Failure
Dergi Sayısı
[dc.identifier.issue]
10
Dergi Cilt Bilgisi
[dc.identifier.volume]
35
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.3109/0886022X.2013.828259
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/8053
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
9
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
06 Şubat 2024 17:42
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patients control volume echocardiography strict hydration groups decreased either cardiovascular respectively IDKA/DW pressures Systolic water/height Introduction precise provides better management leading protection status Informa Healthcare assessment Extracellular increased Conclusion Strict composition disease Methods condition cardiac
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