Assessment and Management of Hypertension in Patients on Dialysis
Rajiv AgarwalDivision of Nephrology, Department of Medicine, Indiana University School of Medicine and Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana; [email protected]Joseph T. FlynnDivision of Nephrology, Seattle Children's Hospital, University of Washington, Seattle, Washington;Velvie A. Pogueformerly Division of Nephrology, Harlem Hospital, Columbia University College of Physicians & Surgeons, New York, New York;Mahboob RahmanDivision of Nephrology and Hypertension, University Hospitals Case Medical Center, Louis Stokes Cleveland Veterans Affairs Medical Center, Case Western Reserve University, Cleveland, Ohio;Efrain ReisinDivision of Nephrology and Hypertension, Louisiana State University Health Science Center, New Orleans, Louisiana; andMatthew R. WeirDivision of Nephrology, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland
2014en
ABI
Аннотация
Hypertension is common, difficult to diagnose, and poorly controlled among patients with ESRD. However, controversy surrounds the diagnosis and treatment of hypertension. Here, we describe the diagnosis, epidemiology, and management of hypertension in dialysis patients, and examine the data sparking debate over appropriate methods for diagnosing and treating hypertension. Furthermore, we consider the issues uniquely related to hypertension in pediatric dialysis patients. Future clinical trials designed to clarify the controversial results discussed here should lead to the implementation of diagnostic and therapeutic techniques that improve long-term cardiovascular outcomes in patients with ESRD.
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