Usefulness of American College of Cardiology/American Heart Association treatment-resistant hypertension criteria among end-stage kidney disease patients – A case series.
Context: American College of Cardiology/American Heart Association (ACC/AHA) antihypertensive treatment-resistance criteria have been not used in the hemodialysis (HD) population. Aims: To assess interim Blood Pressure (BP) measures in End-Stage Kidney Disease (ESKD) patients on maintenance hemod...
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| Format: | Article |
| Language: | English |
| Published: |
GarVal Editorial Ltda.
2022-07-01
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| Series: | Journal of Pharmacy & Pharmacognosy Research |
| Subjects: | |
| Online Access: | https://jppres.com/jppres/pdf/vol10/jppres22.1383_10.4.717.pdf |
| _version_ | 1828191075759554560 |
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| author | Shorouq Khader Abujadallah Seeba Zachariah Rajaram Jagdale |
| author_facet | Shorouq Khader Abujadallah Seeba Zachariah Rajaram Jagdale |
| author_sort | Shorouq Khader Abujadallah |
| collection | DOAJ |
| description | Context: American College of Cardiology/American Heart Association (ACC/AHA) antihypertensive treatment-resistance criteria have been not used in the hemodialysis (HD) population.
Aims: To assess interim Blood Pressure (BP) measures in End-Stage Kidney Disease (ESKD) patients on maintenance hemodialysis after classifying them using the ACC/AHA criteria.
Methods: The study was a case series assessing blood pressure readings of ESKD patients undergoing maintenance HD at a tertiary-level care hospital in the United Arab Emirates. Blood pressure readings before, during, and after HD sessions were collected and analyzed. SPSS version 26 was used for data analysis.
Results: Out of 55 patients with HD, 10 were classified as having treatment-resistant hypertension, and 6 had controlled hypertension in borderline based on mean post-dialysis Systolic BP (SBP) data of a month. Altogether, the patients underwent 183 dialysis sessions in a month with over 1000 BP readings. The treatment-resistant population showed a p-value less than 0.05 with elevated Pre-SBP, Post-SBP, Mean Intra-SBP, Mean Intra-diastolic BP (DPB), Pre-DBP, Post-DBP, Post-pulse pressure (PP), and Post-mean arterial pressure (MAP).
Conclusions: Use of ACC/AHA criteria for treatment-resistant hypertension might guide setting better treatment goals among ESKD patients on maintenance HD. |
| first_indexed | 2024-04-12T08:32:12Z |
| format | Article |
| id | doaj.art-8899b1b6161243649ae0ea219ca5eac7 |
| institution | Directory Open Access Journal |
| issn | 0719-4250 |
| language | English |
| last_indexed | 2024-04-12T08:32:12Z |
| publishDate | 2022-07-01 |
| publisher | GarVal Editorial Ltda. |
| record_format | Article |
| series | Journal of Pharmacy & Pharmacognosy Research |
| spelling | doaj.art-8899b1b6161243649ae0ea219ca5eac72022-12-22T03:40:11ZengGarVal Editorial Ltda.Journal of Pharmacy & Pharmacognosy Research0719-42502022-07-01104717724Usefulness of American College of Cardiology/American Heart Association treatment-resistant hypertension criteria among end-stage kidney disease patients – A case series. Shorouq Khader Abujadallah0Seeba Zachariah1Rajaram Jagdale2College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates.College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates.Department of Nephrology, Thumbay University Hospital, Ajman, United Arab Emirates. College of Medicine, Gulf Medical University, Ajman, United Arab Emirates.Context: American College of Cardiology/American Heart Association (ACC/AHA) antihypertensive treatment-resistance criteria have been not used in the hemodialysis (HD) population. Aims: To assess interim Blood Pressure (BP) measures in End-Stage Kidney Disease (ESKD) patients on maintenance hemodialysis after classifying them using the ACC/AHA criteria. Methods: The study was a case series assessing blood pressure readings of ESKD patients undergoing maintenance HD at a tertiary-level care hospital in the United Arab Emirates. Blood pressure readings before, during, and after HD sessions were collected and analyzed. SPSS version 26 was used for data analysis. Results: Out of 55 patients with HD, 10 were classified as having treatment-resistant hypertension, and 6 had controlled hypertension in borderline based on mean post-dialysis Systolic BP (SBP) data of a month. Altogether, the patients underwent 183 dialysis sessions in a month with over 1000 BP readings. The treatment-resistant population showed a p-value less than 0.05 with elevated Pre-SBP, Post-SBP, Mean Intra-SBP, Mean Intra-diastolic BP (DPB), Pre-DBP, Post-DBP, Post-pulse pressure (PP), and Post-mean arterial pressure (MAP). Conclusions: Use of ACC/AHA criteria for treatment-resistant hypertension might guide setting better treatment goals among ESKD patients on maintenance HD.https://jppres.com/jppres/pdf/vol10/jppres22.1383_10.4.717.pdfantihypertensiveblood pressure controlhemodialysisend-stage kidney diseaseresistant hypertension |
| spellingShingle | Shorouq Khader Abujadallah Seeba Zachariah Rajaram Jagdale Usefulness of American College of Cardiology/American Heart Association treatment-resistant hypertension criteria among end-stage kidney disease patients – A case series. Journal of Pharmacy & Pharmacognosy Research antihypertensive blood pressure control hemodialysis end-stage kidney disease resistant hypertension |
| title | Usefulness of American College of Cardiology/American Heart Association treatment-resistant hypertension criteria among end-stage kidney disease patients – A case series. |
| title_full | Usefulness of American College of Cardiology/American Heart Association treatment-resistant hypertension criteria among end-stage kidney disease patients – A case series. |
| title_fullStr | Usefulness of American College of Cardiology/American Heart Association treatment-resistant hypertension criteria among end-stage kidney disease patients – A case series. |
| title_full_unstemmed | Usefulness of American College of Cardiology/American Heart Association treatment-resistant hypertension criteria among end-stage kidney disease patients – A case series. |
| title_short | Usefulness of American College of Cardiology/American Heart Association treatment-resistant hypertension criteria among end-stage kidney disease patients – A case series. |
| title_sort | usefulness of american college of cardiology american heart association treatment resistant hypertension criteria among end stage kidney disease patients a case series |
| topic | antihypertensive blood pressure control hemodialysis end-stage kidney disease resistant hypertension |
| url | https://jppres.com/jppres/pdf/vol10/jppres22.1383_10.4.717.pdf |
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