I Brazilian guideline on hypertension in dialysis of the Brazilian Society of Nephrology.

IF 1.3 Q3 UROLOGY & NEPHROLOGY
Cibele Isaac Saad Rodrigues, Sebastião Rodrigues Ferreira-Filho, Ana Flávia de Souza Moura, Carlos Eduardo Poli-de-Figueiredo, Dirceu Reis da Silva, Fernanda Salomão Gorayeb Polacchini, Fernando Antônio de Almeida, Maria Eliete Pinheiro, Rodrigo Bezerra, Rogério Baumgratz de Paula, Aldo José Peixoto, Ana Elizabeth Prado Lima Figueiredo, Audes Diógenes Magalhães Feitosa, Carlos Alberto Machado, Celso Amodeo, Décio Mion Junior, Elizabeth Silaid Muxfeldt, Giovanio Vieira da Silva, José Andrade Moura-Neto, José Muniz Pazeli Júnior, Leda Daud Lotaif, Luciano F Drager, Luis Cuadrado Martín, Luiz Aparecido Bortolotto, Marcus Gomes Bastos, Marcus Vinícius Bolívar Malachias, Marcos Vinícius Paiva Cavalcanti Moreira, Maria Eugenia Fernandes Canziani, Roberto Dischinger Miranda, Roberto Jorge da Silva Franco, Roberto Pecoits Filho, Rogerio Andrade Mulinari, Rosilene Motta Elias, Weimar Kunz Sebba Barroso, Wilson Nadruz
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引用次数: 0

Abstract

Hypertension in dialysis patients (HTND) has a high prevalence, affecting at least 80% or more of patients, and its management in the nephrology practice is heterogeneous and often empirical. Knowing how to define, understand the pathophysiology, diagnose, monitor and treat with lifestyle changes, and adjust antihypertensive drugs to achieve the recommended blood pressure (BP) target - to reduce morbidity and mortality - requires specific knowl-edge and approaches within the contexts of hemodialysis (HD) and peritoneal dialysis (PD). This document is the first guideline of the Brazilian Society of Nephrology, developed by the departments of Hypertension and Dialysis. It aims to guide physicians who provide care in dialysis centers on how to manage patients with HTND, in a comprehensive and individualized manner, based on the critical appraisal of the best available scientific evidence. When such evidence is scarce or unavailable, the opinion of specialists should be recommended. The different topics covered include HTND definition (pre-HD BP ≥ 140/90 mmHg and post-HD BP ≥ 130/80 mmHg), epidemiology, and pathophysiology; diagnosis of HTND preferably with BP measurements outside the dialysis setting (BP ≥ 130/80 mmHg); complementary assessment; blood pressure targets; non-pharmacological treatment; use of the most appropriate antihypertensive medications; special situations; and complications of HTND, predominantly cardiovascular ones.

1巴西肾病学会透析高血压指南。
透析患者高血压(HTND)的患病率很高,影响至少80%或更多的患者,其在肾病学实践中的管理是异质性的,通常是经验性的。了解如何定义、理解病理生理学、诊断、监测和改变生活方式治疗,以及调整降压药以达到推荐血压(BP)目标,从而降低发病率和死亡率,需要血液透析(HD)和腹膜透析(PD)背景下的特定知识和方法。该文件是巴西肾病学会的第一个指南,由高血压和透析部门制定。它旨在指导在透析中心提供护理的医生如何在对现有最佳科学证据进行批判性评估的基础上,以全面和个性化的方式管理HTND患者。当此类证据缺乏或不可获得时,应建议专家的意见。不同的主题包括HTND的定义(高血压前血压≥140/90 mmHg和高血压后血压≥130/80 mmHg)、流行病学和病理生理学;诊断HTND最好采用透析环境外的血压测量(血压≥130/80 mmHg);互补的评估;血压指标;后备治疗;使用最合适的降压药物;特殊情况;以及HTND的并发症,主要是心血管疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.20
自引率
16.70%
发文量
208
审稿时长
16 weeks
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