High Stroke Volume Variation Is an Independent Predictor for Decreased Blood Pressure During Hemodialysis
It currently remains unclear whether stroke volume variation (SVV) before hemodialysis (HD) is an independent predictor of decreased blood pressure (BP) during HD. Fifty‐two patients were divided into two groups (Decreased BP during HD group: N = 10, Non‐decreased BP group: N = 42). Fractional short...
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| Veröffentlicht in: | Therapeutic apheresis and dialysis 2017-04, Vol.21 (2), p.166-172 |
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| creator | Yoshihara, Fumiki Kishida, Masatsugu Ogawa, Koji Nishigaki, Takayuki Nakasaki, Hironori Ishizuka, Azusa Koezuka, Ryo Matsuo, Miki Hayashi, Teruyuki Nakamura, Satoko |
| description | It currently remains unclear whether stroke volume variation (SVV) before hemodialysis (HD) is an independent predictor of decreased blood pressure (BP) during HD. Fifty‐two patients were divided into two groups (Decreased BP during HD group: N = 10, Non‐decreased BP group: N = 42). Fractional shortening was lower, and mean arterial pressure (MAP) and SVV were higher in the Decreased BP during HD group. A multiple logistic regression analysis identified low fractional shortening, high MAP, and high SVV as independent predictors of decreased BP during HD. The areas under the ROC curves were as follows: 0.849 for MAP, 0.712 for SVV, and 0.893 for MAP and SVV. Optimal threshold values were 93.0 mm Hg for MAP and 17.3 % for SVV. A multivariate regression analysis identified anemia and a longer dialysis vintage as independently related factors for higher SVV. Our results suggest that high SVV is an independent predictor for decreased BP during HD. |
| doi_str_mv | 10.1111/1744-9987.12511 |
| format | Article |
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Fifty‐two patients were divided into two groups (Decreased BP during HD group: N = 10, Non‐decreased BP group: N = 42). Fractional shortening was lower, and mean arterial pressure (MAP) and SVV were higher in the Decreased BP during HD group. A multiple logistic regression analysis identified low fractional shortening, high MAP, and high SVV as independent predictors of decreased BP during HD. The areas under the ROC curves were as follows: 0.849 for MAP, 0.712 for SVV, and 0.893 for MAP and SVV. Optimal threshold values were 93.0 mm Hg for MAP and 17.3 % for SVV. A multivariate regression analysis identified anemia and a longer dialysis vintage as independently related factors for higher SVV. 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Fifty‐two patients were divided into two groups (Decreased BP during HD group: N = 10, Non‐decreased BP group: N = 42). Fractional shortening was lower, and mean arterial pressure (MAP) and SVV were higher in the Decreased BP during HD group. A multiple logistic regression analysis identified low fractional shortening, high MAP, and high SVV as independent predictors of decreased BP during HD. The areas under the ROC curves were as follows: 0.849 for MAP, 0.712 for SVV, and 0.893 for MAP and SVV. Optimal threshold values were 93.0 mm Hg for MAP and 17.3 % for SVV. A multivariate regression analysis identified anemia and a longer dialysis vintage as independently related factors for higher SVV. Our results suggest that high SVV is an independent predictor for decreased BP during HD.</description><subject>Aged</subject><subject>Anemia</subject><subject>Blood pressure</subject><subject>Blood Pressure - physiology</subject><subject>Female</subject><subject>Hemodialysis</subject><subject>Humans</subject><subject>Hypotension - diagnosis</subject><subject>Male</subject><subject>Mean arterial pressure</subject><subject>Middle Aged</subject><subject>Renal Dialysis</subject><subject>ROC Curve</subject><subject>Stroke Volume - physiology</subject><subject>Stroke volume variation</subject><issn>1744-9979</issn><issn>1744-9987</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMFPwjAUhxujEUTP3kyPXgZr19H1iKBCYiKJ6LXptlesbiu2Wwz_vZtDrjbpe83r936HD6FrEo5JeyaEMxYIkfAxoTEhJ2h4nJwe31wM0IX3H2FIKYuiczSgCRVTkkRDZJZm-45famc_Ab_ZoinbppxRtbEVXnms2lrlsIO2VDVeO8hNVluHdXsXkDlQHnJ8V1ibd7_eNw7wonGm2uIllDY3qth74y_RmVaFh6tDH6HXh_vNfBk8PT-u5rOnIGOckYAkaZqB1lowKohSUyqUAIjTNEpjCgwiQZJYhWlEBMsSpjWZ5prTsBvyaRSN0G2fu3P2qwFfy9L4DIpCVWAbL0nCeRIzLmiLTno0c9Z7B1runCmV20sSys6v7AzKzqb89dtu3BzCm7SE_Mj_CW2BuAe-TQH7__LkZrbug38AzZCFZw</recordid><startdate>201704</startdate><enddate>201704</enddate><creator>Yoshihara, Fumiki</creator><creator>Kishida, Masatsugu</creator><creator>Ogawa, Koji</creator><creator>Nishigaki, Takayuki</creator><creator>Nakasaki, Hironori</creator><creator>Ishizuka, Azusa</creator><creator>Koezuka, Ryo</creator><creator>Matsuo, Miki</creator><creator>Hayashi, Teruyuki</creator><creator>Nakamura, Satoko</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201704</creationdate><title>High Stroke Volume Variation Is an Independent Predictor for Decreased Blood Pressure During Hemodialysis</title><author>Yoshihara, Fumiki ; Kishida, Masatsugu ; Ogawa, Koji ; Nishigaki, Takayuki ; Nakasaki, Hironori ; Ishizuka, Azusa ; Koezuka, Ryo ; Matsuo, Miki ; Hayashi, Teruyuki ; Nakamura, Satoko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4741-18bbcefff94291aa629a9ee5bb3b52e4e39185a0b3194c84ff16df72085a07633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Anemia</topic><topic>Blood pressure</topic><topic>Blood Pressure - physiology</topic><topic>Female</topic><topic>Hemodialysis</topic><topic>Humans</topic><topic>Hypotension - diagnosis</topic><topic>Male</topic><topic>Mean arterial pressure</topic><topic>Middle Aged</topic><topic>Renal Dialysis</topic><topic>ROC Curve</topic><topic>Stroke Volume - physiology</topic><topic>Stroke volume variation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoshihara, Fumiki</creatorcontrib><creatorcontrib>Kishida, Masatsugu</creatorcontrib><creatorcontrib>Ogawa, Koji</creatorcontrib><creatorcontrib>Nishigaki, Takayuki</creatorcontrib><creatorcontrib>Nakasaki, Hironori</creatorcontrib><creatorcontrib>Ishizuka, Azusa</creatorcontrib><creatorcontrib>Koezuka, Ryo</creatorcontrib><creatorcontrib>Matsuo, Miki</creatorcontrib><creatorcontrib>Hayashi, Teruyuki</creatorcontrib><creatorcontrib>Nakamura, Satoko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Therapeutic apheresis and dialysis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoshihara, Fumiki</au><au>Kishida, Masatsugu</au><au>Ogawa, Koji</au><au>Nishigaki, Takayuki</au><au>Nakasaki, Hironori</au><au>Ishizuka, Azusa</au><au>Koezuka, Ryo</au><au>Matsuo, Miki</au><au>Hayashi, Teruyuki</au><au>Nakamura, Satoko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High Stroke Volume Variation Is an Independent Predictor for Decreased Blood Pressure During Hemodialysis</atitle><jtitle>Therapeutic apheresis and dialysis</jtitle><addtitle>Ther Apher Dial</addtitle><date>2017-04</date><risdate>2017</risdate><volume>21</volume><issue>2</issue><spage>166</spage><epage>172</epage><pages>166-172</pages><issn>1744-9979</issn><eissn>1744-9987</eissn><abstract>It currently remains unclear whether stroke volume variation (SVV) before hemodialysis (HD) is an independent predictor of decreased blood pressure (BP) during HD. Fifty‐two patients were divided into two groups (Decreased BP during HD group: N = 10, Non‐decreased BP group: N = 42). Fractional shortening was lower, and mean arterial pressure (MAP) and SVV were higher in the Decreased BP during HD group. A multiple logistic regression analysis identified low fractional shortening, high MAP, and high SVV as independent predictors of decreased BP during HD. The areas under the ROC curves were as follows: 0.849 for MAP, 0.712 for SVV, and 0.893 for MAP and SVV. Optimal threshold values were 93.0 mm Hg for MAP and 17.3 % for SVV. A multivariate regression analysis identified anemia and a longer dialysis vintage as independently related factors for higher SVV. Our results suggest that high SVV is an independent predictor for decreased BP during HD.</abstract><cop>Australia</cop><pmid>28296183</pmid><doi>10.1111/1744-9987.12511</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Anemia Blood pressure Blood Pressure - physiology Female Hemodialysis Humans Hypotension - diagnosis Male Mean arterial pressure Middle Aged Renal Dialysis ROC Curve Stroke Volume - physiology Stroke volume variation |
| title | High Stroke Volume Variation Is an Independent Predictor for Decreased Blood Pressure During Hemodialysis |
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