Uchida Masato, Kawano Hiroaki, Koga Seiji, Ikeda Satoshi, Eishi Kiyoyuki, Maemura Koji
Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Department of Cardiovascular Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
J Cardiol Cases. 2020 Jul 2;22(4):181-183. doi: 10.1016/j.jccase.2020.06.013. eCollection 2020 Oct.
A 73-year-old Japanese man was admitted with extreme intradialytic hypertension of four months' duration that was refractory to antihypertensive agents. He had started hemodialysis five years previously because of diabetic nephropathy. Coronary angiography revealed coronary artery disease with significant stenosis of the left main trunk and the right coronary artery, and he underwent a coronary artery bypass graft. Thereafter, the intradialytic hypertension disappeared. Ischemic heart disease appears to be one cause of intradialytic hypertension. < Intradialytic hypertension occurs in some patients with hemodialysis. Such patients are at increased risk for mortality and adverse cardiovascular events. Although the pathophysiological mechanisms remain unknown, ischemic heart disease appears to be one cause of intradialytic hypertension.>.
一名73岁的日本男性因持续四个月的透析期间严重高血压入院，该高血压对降压药无效。他五年前因糖尿病肾病开始进行血液透析。冠状动脉造影显示冠状动脉疾病，左主干和右冠状动脉严重狭窄，他接受了冠状动脉搭桥手术。此后，透析期间高血压消失。缺血性心脏病似乎是透析期间高血压的一个原因。<透析期间高血压发生在一些血液透析患者中。这些患者的死亡风险和不良心血管事件风险增加。尽管病理生理机制尚不清楚，但缺血性心脏病似乎是透析期间高血压的一个原因。>
