Why is there hypertension or high blood pressure in dialysis in kidney
failure patients? Hypertension or high blood pressure is a main complication in
the treatment of dialysis, which often leads to heart failure and death. The
statistics shows that before dialysis, about 80% to 100% uremia patients have
had high blood pressure or hypertension. 87% diabetic kidney disease patients
still can not control blood pressure after dialysis. Long time high blood
pressure can really lead to threaten to patients.
Generally, high blood pressure or hypertension after dialysis can be divided
into 2 kinds.
1. Capacity dependence high blood pressure, which usually takes place in the
early stage of dialysis. Its main pathological mechanism is the retention of
water and sodium, which makes the body weight increase the by 3% to 4%. There is
edema, extending heart size and so on. In addition, there is also risk of heart
failure. When body weight increases, blood pressure will increase
accordingly.
2. Renin dependence high blood pressure, which takes place one hour after
dialysis. Dialysis can lead to the decrease of body liquid, thus causing the
further increase of renin activity, thus causing the deterioration of high blood
pressure.
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