Intradialytic hypotension and cardiac remodeling: should we consider the renin-angiotensin-aldosterone system?

Several studies have found that IDH-prone patients have higher baseline plasma angiotensin II levels than those who are IDH-resistant, and activation of the RAAS is known to be involved in LVH development, independent of afterload [[3]]. Dear Sir, We have read with great interest the paper entitled 'High ultrafiltration rate induced intradialytic hypotension is a predictor for cardiac remodeling: a 5-year cohort study' by Yu et al. [[1]]. [Extracted from the article]