Treatment of Hypertension in Patients on Hemodialysis

[Pages:51]Treatment of Hypertension in Patients on Hemodialysis

Hermann Haller Department of Nephrology Hannover Medical School

Blood pressure treatment "conventional" wisdom in ESRD patients

Salt ??? Changes over time ???

volume-dependent Salt/water

Heart failure

Blood pressure regulation

vasoconstriction

RAS, sympathetic activity, lack of NO, medullipin etc.

Arterial compliance calcification

What is the "real" RR ??? HD

HD

HD

Acute changes ??? HD

HD HD

Definition of Hypertension

K/DOQI 2005 guidelines on cardiovascular disease in dialysis patients Predialysis and postdialysis blood pressure goals should be ................
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