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• W4315707087 abstract "Objective: Chronic kidney disease-CKD is associated with 18-fold increased cardiovascular risk, however data on acute kidney injury-AKI, in cardiovascular risk are limited. Hypertension (HT) is an overwhelming finding in CKD but again data on hypertension prevalence in AKI are very scarce. The etiology of HT AKI could be multifactorial thus BP control requires multidirectional, frequently aggressive, treatment and is one of the major challenge of nephrologists and hypertension specialists. The aim of the study was to assess blood pressure control in patients with AKI admitted to the nephrology department. Design and method: The retrospective analysis of 215 (mean age 58y) patients with AKI (N17) was made based on the medical documentation. The medical history, BP measurements body mass, diuresis, laboratory tests, the presence of peripheral edema and the echocardiography were taken. The kind of using hypotensive drugs and the connection between the number of them, the presence of volume overload and BP control, need for dialysis, were analyzed. Among patients with AKI 35% requires acute hemodialysis-HD, due to either clinical or biochemical indications. Results: AKI patients requiring HD were significantly older than patients treated conservatively group (Me = 67 vs. Me = 54y, p < 0,01) and had much higher both systolic and diastolic blood pressure values (p < 0.01 for both). The renal function was less present in AKI group requiring HD. The peripheral edema was observed significantly more often in HD group with uncontrolled BP (above 140/90 mmHg) (72,2% vs 35,7%, p < 0,05). The average amount of hypotensive drugs was 5 in HD and 3 in non-HD patients. The most used hypotensive drug was calcium channel blocker, diuretic and beta-blocker. Non-HD patients were treated with ACEi and ARB significantly wider (p < 0,05). There were no differences in echocardiographic parameters. Conclusions: There were the better BP and volume control in HD group. We confirmed the connection between BP control, volume status and the duration of dialysis, particularly in PD patients. Salt dietary restriction and the better volume control in PD patients are strongly recommended. ACEi should be used more widely, particularly in patients with the high risk of cardiovascular disease." @default.
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• W4315707087 date "2023-01-01" @default.
• W4315707087 modified "2023-10-03" @default.
• W4315707087 title "PS-C27-9: THE IMPORTANCE OF BP CONTROL IN AKI: THE KEY TO AN ESCAPE FROM RRT - NEW OPPORTUNITIES OR VAIN HOPES?" @default.
• W4315707087 doi "https://doi.org/10.1097/01.hjh.0000917144.13878.ce" @default.
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