Blood pressure control before and after starting dialysis.
OBJECTIVE
We have previously reported a study on the adequacy of management of hypertension in patients developing end-stage renal failure (ESRF) over a period of 3 years from a single health district in the UK (n = 107). There were significant shortcomings in all aspects of management of hypertension including blood pressure (BP) control.


METHODS
In this report, we have compared BP control in the same cohort of patients before and after starting renal replacement therapy (RRT).


RESULTS
BP control improved significantly after the patients were established on dialysis (mean 158/ 87 mm Hg pre-RRT vs. 152/82 mm Hg post-RRT; p < 0.0001), and fewer antihypertensive agents were prescribed to control BP (mean 2.45 vs. 1.74) in this period (p < 0.0001). Moreover, patients on continuous ambulatory peritoneal dialysis (n = 50) had a better systolic BP control compared with the haemodialysis patients (n = 57; p = 0.03).


CONCLUSIONS
This study shows significant improvement in BP control in a cohort of patients with ESRF following the start of dialysis.
Dasgupta
Indranil
I
Nottingham City Hospital, Nottingham, UK. Indranil.Dasgupta@heartsol.wmids.nhs.uk
Burden
Richard
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001794:Blood Pressure; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000503:physiopathology; D007676:Kidney Failure, Chronic / Q000503:physiopathology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory; D006435:Renal Dialysis