Department of Nephrology, Austin Health, Melbourne, Australia.
Am J Kidney Dis. 2012 Sep;60(3):463-72. doi: 10.1053/j.ajkd.2012.04.026. Epub 2012 Jun 15.
The association between blood pressure and cardiovascular outcomes in patients undergoing hemodialysis remains controversial. This may relate in part to the technique and device used and the timing of the blood pressure measurement in relation to the hemodialysis procedure. Emerging evidence indicates that standardized hemodialysis unit blood pressure measurements or measurements obtained at home, either by the patient or using an ambulatory blood pressure monitor, may offer advantages over routine hemodialysis unit blood pressure measurements for determining cardiovascular risk and treatment. This review discusses the available evidence and implications for clinicians and clinical trials.
在接受血液透析的患者中，血压与心血管结局之间的关联仍存在争议。这可能部分与所使用的技术和设备以及血压测量与血液透析过程的时间有关。新出现的证据表明，标准化血液透析单位血压测量或在家中由患者或使用动态血压监测仪获得的测量值，可能比常规血液透析单位血压测量值更有利于确定心血管风险和治疗。本文综述了现有的证据及其对临床医生和临床试验的影响。
