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Hemodialysis-associated hypotension as an independent risk factor for two-year mortality in hemodialysis patients  Tatsuya Shoji, Yoshiharu Tsubakihara,

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Presentation on theme: "Hemodialysis-associated hypotension as an independent risk factor for two-year mortality in hemodialysis patients  Tatsuya Shoji, Yoshiharu Tsubakihara,"— Presentation transcript:

1 Hemodialysis-associated hypotension as an independent risk factor for two-year mortality in hemodialysis patients  Tatsuya Shoji, Yoshiharu Tsubakihara, Masamitsu Fujii, Enyu Imai  Kidney International  Volume 66, Issue 3, Pages (September 2004) DOI: /j x Copyright © 2004 International Society of Nephrology Terms and Conditions

2 Figure 1 Mean (±SD) changes of blood pressure during hemodialysis (HD) in survivors and fatalities in December Systolic blood pressure (A), diastolic blood pressure (B). Kidney International  , DOI: ( /j x) Copyright © 2004 International Society of Nephrology Terms and Conditions

3 Figure 2 Two-year mortalities for various ranges of predialytic blood pressure and fall in blood pressure during hemodialysis. Within each range of predialytic blood pressure, the columns indicate two-year mortality associated with falls in blood pressure during hemodialysis in two groups. Cut-offs for groping are defined at the top of (A) and (B). (A) shows systolic blood pressure (SBP) and (B) shows diastolic blood pressure (DBP). A greater fall in SBP is associated with increased mortality in all ranges of predialysis SBP. Kidney International  , DOI: ( /j x) Copyright © 2004 International Society of Nephrology Terms and Conditions

4 Figure 3 Two-year mortality associated with intradialysis blood pressure. Lower blood pressure is associated with increased mortality. (A) shows systolic blood pressure, and (B) shows diastolic blood pressure. SBP, systolic blood pressure; DBP, diastolic blood pressure. Kidney International  , DOI: ( /j x) Copyright © 2004 International Society of Nephrology Terms and Conditions

5 Figure 4 Two-year mortality for various ranges of postdialysis blood pressure (BP) and fall in BP upon standing soon after hemodialysis. Within each range of post-dialysis BP, the columns indicate two-year mortality associated with fall in BP upon standing soon after hemodialysis from the spine value measured after hemodialysis in two groups. Cut-offs for groping are defined at the top of (A) and (B). (A) shows systolic blood pressure (SBP) and (B) shows diastolic blood pressure (DBP). A greater fall in BP upon standing soon after hemodialysis is associated with increased mortality in all ranges of postdialysis BP except the SBP range 140–149 mm Hg and DBP range 70–79 mm Hg. Kidney International  , DOI: ( /j x) Copyright © 2004 International Society of Nephrology Terms and Conditions


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