Téma: 

Arterial hypotension – the commonest acute complication during hemodialysis

Katarína Bobocká, Dagmar Eisnerová, Anna Lehotská, Peter Ponťuch

Arterial hypotension is the most common acute complication during the hemodialysis treatment. It represents the main manifestation of hemodynamic instability; it may induce cardiac arrhythmias and contribute to the increased mortality and morbidity of hemodialysed patients and also to the lower efficiency of hemodialysis. It is called episodic hypotension and it can become manifested anytime during the hemodialysis session, mainly at the end. Hypotension is mostly characterized by the decrease in systolic blood pressure ≥ 20 mmHg or mean arterial pressure ≥ 10 mmHg and/or the presence of specific symptoms with further need of treatment intervention. There are many causes known to reduce hemodynamic compensation. There are several measurements which can be used to prevent and stop its negative impact on survival of patients.
Keywords: arterial hypotension, hemodialysis, hemodynamic instability

Ročník 2008  Témy časopisu Cardiology for practice 2 / 2008

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MUDr. Juraj Dúbrava, PhD., FESC
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prof. MUDr. Daniel Pella, PhD.
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Examples of citations:
1. Shaheen NJ, Crosby NA, Bozymski EM, et al. Is there publication bias in the reporting cancer risk in Barrett´ esophagus? Gastroenterology 2000; 119: 333-338.
2. Stenestrand U, Wallentin L. Swedish Register of Cardiac Intensive Care (RIKS-HIA): Early statin treatment following acute myocardial infarction and 1-year survival. JAMA 2001; 285: 430-436.
3. LIPID Study Group. Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. N Engl J Med 1998; 339: 1349-1357.
4. Jurkovičová O, Spitzerová H, Cagáň S. Komorové arytmie a náhla srdcová smrť pri akútnom infarkte myokardu. Bratisl Lek Listy 1997; 98: 379-389.
5. Osborne BE. The electrocardiogram of the rat. In: Budden R, Detweiler DK, Zbinden G. The rat electrocardiogram in pharmacology and toxicology. Oxford: Pergamon Press 1981: 15-27.

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In which patients, after overcoming of a thromboembolic cerebral or peripheral event, the least suitable catheter closure is foramen ovale patents:
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b. paroxysmal fibrillation of the atrium
c. aneurysm of the atrium septum
d. origination of an event after cough

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