Intradialytic Hypotension
Conditions
Keywords
intradialytic hypotension, pulse wave analysis, heart rate variability, Constitution in Chinese Medicine Questionnaire
Brief summary
Intradialytic hypotension (IDH) is a common complication during hemodialysis in patients with chronic kidney disease and may increase the mortality. This study aimed to investigate whether pulse wave analysis could be the predictor of IDH. In this study, patients under regular hemodialysis were enrolled from Taoyuan Chang Gung memorial hospital. Subjects were evaluated by pulse wave instrument, heart rate variability analyzer and Constitution in Chinese Medicine Questionnaire before hemodialysis. According to the definitions of IDH, subjects in study group and control group were confirmed by the dialysis records. Furthermore, repeated examinations were done for 3 hemodialysis to investigate the possible predictive factors for IDH.
Detailed description
Intradialytic hypotension (IDH) is a common complication during hemodialysis in patients with chronic kidney disease and may increase the mortality. This study aimed to investigate whether pulse wave analysis could be the predictor of IDH. In this study, patients under regular hemodialysis were enrolled from Taoyuan Chang Gung memorial hospital. Subjects were evaluated by pulse wave instrument, heart rate variability analyzer and Constitution in Chinese Medicine Questionnaire before hemodialysis. According to the definitions of IDH, subjects in study group and control group were confirmed by the dialysis records. Furthermore, repeated examinations were done for 3 hemodialysis to investigate the possible predictive factors for IDH.
Interventions
Intradialytic hypotension episode under regular hemodialysis
Sponsors
Study design
Eligibility
Inclusion criteria
* patients under regular hemodialysis (3 times per week) in last 3 months
Exclusion criteria
* arrhythmia * artery-vein anastomoses on both arms * other conditions which might interfere the evaluation of pulse wave analysis and heart rate variability analysis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pulse wave analysis | within 2 hours before regular dialysis | Pulse wave analysis |
| Heart rate variability | within 2 hours before regular dialysis | Heart rate variability |
| Constitution in Chinese Medicine Questionnaire | within 2 hours before regular dialysis | Constitution in Chinese Medicine Questionnaire |