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Hemodiafiltration Does Not Have Additional Benefits over Hemodialysis on Arterial Stiffness, Wave Reflections and Central Aortic Pressures
- Source :
- Blood Purification. 37:18-26
- Publication Year :
- 2014
- Publisher :
- S. Karger AG, 2014.
-
Abstract
- Background/Aims: The hypothesis that dialytic modality affects arterial stiffness was never investigated. This study includes comparative evaluation of hemodiafiltration versus hemodialysis on arterial function during first and second weekly dialysis sessions. Methods: 24 patients receiving hemodiafiltration and another 24 age- and sex-matched controls receiving hemodialysis were included. Patients were evaluated before and after first and second weekly dialysis sessions. Applanation tonometry of peripheral arteries was applied to determine aortic and brachial pulse wave velocity and heart rate-adjusted augmentation index (AIx(75)). Results: Hemodiafiltration and hemodialysis reduced AIx(75), but not aortic and brachial pulse wave velocity. Intradialytic reductions in AIx(75) did not differ between hemodiafiltration and hemodialysis in first and mid-week dialysis. In multivariate linear regression, predictors of intradialytic reduction in AIx(75) were changes in body weight and central aortic systolic blood pressure, but not dialytic modality. Conclusion: This study showed that hemodiafiltration has similar effects with hemodialysis on wave reflections and stiffness.
- Subjects :
- Male
musculoskeletal diseases
medicine.medical_specialty
animal structures
genetic structures
medicine.medical_treatment
Pulsatile flow
Hemodiafiltration
Comparative evaluation
Vascular Stiffness
Renal Dialysis
Internal medicine
medicine.artery
otorhinolaryngologic diseases
medicine
Humans
Arterial Pressure
Pulse wave velocity
Aorta
business.industry
Arteries
Hematology
General Medicine
medicine.disease
Surgery
medicine.anatomical_structure
Blood pressure
Nephrology
Pulsatile Flow
Vascular resistance
Arterial stiffness
Cardiology
Female
Vascular Resistance
Hemodialysis
business
Blood Flow Velocity
psychological phenomena and processes
Subjects
Details
- ISSN :
- 14219735 and 02535068
- Volume :
- 37
- Database :
- OpenAIRE
- Journal :
- Blood Purification
- Accession number :
- edsair.doi.dedup.....cc6a1d9184fc714279012b4514fc847e