The role of haemodialysis in control of blood pressure in uremic patients at Kidney Dialysis and Khartoum Transp lant Centre: a prospe ive study .

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Research type: Research Paper

Authors: Ahmed, Nasr Eldin Yousif .

Abstract: A prospective study for the role of HD in the control of BP of 78 patients with ESRD was carried out at KDKTC, from June 1997 to Feb. 1998. The study population comprised patients of various ages ranging between 15 and 75 years. The history of renal diseases of these patients ranged from a few years to more than 20 years. The patients have been on HD for periods ranging from a few months to more than 16 years. In addition to HD these patients were on antihypertensive treatment. The BP control of these patients with HD and antihypertensive was followed for 40 weeks. Results demonstrated clearly that HD adequately controlled the BP or the patients in the study including sixteen patients who stopped taking antihypertensive treatment. In addition the results demonstrated clearly the association between family history of hypertension and patients susceptibilty to hypertension. this association was somehow less obvious for the association of family history and patients susceptibility to diabetes. During the study some patients developed a few complications e.g. frequent hypotension, first dialysis syndrome, and severe muscle cramps from dialysis with acetate. Changing to bicarbonate dialysate improved the situation of these patients. In conclusion the study demonstrated clearly that HD controlled BP of patients with ESRD, and that bicarbonate dialysate causes less complications compared to acetate dialysate.