Antihypertensive treatment in patients with end-stage renal disease

Arterial hypertension is a common finding in patients with end stage renal disease (80% patients are hypertensive). Cardiovascular diseases are the main cause of death in haemodialysis. The present study was performed to asses' successful treatment in hypertensive chronic haemodialysis patient...

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Main Authors: Mensura Aščerić, Nedžad Mulabegović, Sabina Nuhbegović, Alma Nadarević, Muamera Mujčinagić-Vrabac
Format: Article
Language:English
Published: Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina 2005-11-01
Series:Biomolecules & Biomedicine
Subjects:
Online Access:https://www.bjbms.org/ojs/index.php/bjbms/article/view/3225
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author Mensura Aščerić
Nedžad Mulabegović
Sabina Nuhbegović
Alma Nadarević
Muamera Mujčinagić-Vrabac
author_facet Mensura Aščerić
Nedžad Mulabegović
Sabina Nuhbegović
Alma Nadarević
Muamera Mujčinagić-Vrabac
author_sort Mensura Aščerić
collection DOAJ
description Arterial hypertension is a common finding in patients with end stage renal disease (80% patients are hypertensive). Cardiovascular diseases are the main cause of death in haemodialysis. The present study was performed to asses' successful treatment in hypertensive chronic haemodialysis patients by ultra filtration only and ultra filtration combined with medics. We studied 80 hypertensive adult patients who had been on regular haemodialysis treatment for at least 12 months (average duration of 41 months). All subjects were divided in two different antihypertensive treatment groups including 40 subjects each. The first group of patients were treated with trandolapril and ultra filtration, and the second group of patients were only treated with ultra filtration (control group). Blood pressure measurements before and after HD sessions were performed for each patient. Blood pressure control was defined using World Health Organizationcriteria 140/90 mm Hg. Average systolic blood pressure levels, after haemodialysis, were in the first group of patients 146.33 +/- 9.7 mm Hg, and in the control group 157,86 +/- 10.33 mm Hg. Average diastolic blood pressure was 87.83 +/- 8.11 mm Hg in the first group of patients and, in the control group it was 91.03 +/- 10.67 mm Hg. There were significant differences between systolic blood pressure level in the first group of patients and the control group of patients as well as in diastolic blood pressure (p < 0.05). We conclude that an antihypertensive therapy by trandolapril is more effective than ultra filtration alone in hypertensive patients on chronic haemodialysis.
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spelling doaj.art-2a26423268ff4041aa2005c4d31110cd2024-03-15T14:42:21ZengAssociation of Basic Medical Sciences of Federation of Bosnia and HerzegovinaBiomolecules & Biomedicine2831-08962831-090X2005-11-015410.17305/bjbms.2005.3225742Antihypertensive treatment in patients with end-stage renal diseaseMensura Aščerić0Nedžad Mulabegović1Sabina Nuhbegović2Alma Nadarević3Muamera Mujčinagić-Vrabac4Department of Pharmacology and Toxicology, University of Tuzla, Medical FacultyDepartment of Pharmacology and Toxicology, University of Sarajevo, Medical FacultyDepartment of Physiology, University of Tuzla, Medical FacultyPolyclinic for Pulmonary Diseases and TBC of Clinic of HealthFamily Practice of Clinic of Health Arterial hypertension is a common finding in patients with end stage renal disease (80% patients are hypertensive). Cardiovascular diseases are the main cause of death in haemodialysis. The present study was performed to asses' successful treatment in hypertensive chronic haemodialysis patients by ultra filtration only and ultra filtration combined with medics. We studied 80 hypertensive adult patients who had been on regular haemodialysis treatment for at least 12 months (average duration of 41 months). All subjects were divided in two different antihypertensive treatment groups including 40 subjects each. The first group of patients were treated with trandolapril and ultra filtration, and the second group of patients were only treated with ultra filtration (control group). Blood pressure measurements before and after HD sessions were performed for each patient. Blood pressure control was defined using World Health Organizationcriteria 140/90 mm Hg. Average systolic blood pressure levels, after haemodialysis, were in the first group of patients 146.33 +/- 9.7 mm Hg, and in the control group 157,86 +/- 10.33 mm Hg. Average diastolic blood pressure was 87.83 +/- 8.11 mm Hg in the first group of patients and, in the control group it was 91.03 +/- 10.67 mm Hg. There were significant differences between systolic blood pressure level in the first group of patients and the control group of patients as well as in diastolic blood pressure (p < 0.05). We conclude that an antihypertensive therapy by trandolapril is more effective than ultra filtration alone in hypertensive patients on chronic haemodialysis. https://www.bjbms.org/ojs/index.php/bjbms/article/view/3225Hypertensionhaemodialysisultra filtrationtrandolapril
spellingShingle Mensura Aščerić
Nedžad Mulabegović
Sabina Nuhbegović
Alma Nadarević
Muamera Mujčinagić-Vrabac
Antihypertensive treatment in patients with end-stage renal disease
Biomolecules & Biomedicine
Hypertension
haemodialysis
ultra filtration
trandolapril
title Antihypertensive treatment in patients with end-stage renal disease
title_full Antihypertensive treatment in patients with end-stage renal disease
title_fullStr Antihypertensive treatment in patients with end-stage renal disease
title_full_unstemmed Antihypertensive treatment in patients with end-stage renal disease
title_short Antihypertensive treatment in patients with end-stage renal disease
title_sort antihypertensive treatment in patients with end stage renal disease
topic Hypertension
haemodialysis
ultra filtration
trandolapril
url https://www.bjbms.org/ojs/index.php/bjbms/article/view/3225
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AT nedzadmulabegovic antihypertensivetreatmentinpatientswithendstagerenaldisease
AT sabinanuhbegovic antihypertensivetreatmentinpatientswithendstagerenaldisease
AT almanadarevic antihypertensivetreatmentinpatientswithendstagerenaldisease
AT muameramujcinagicvrabac antihypertensivetreatmentinpatientswithendstagerenaldisease