Hemodynamic changes during sequential ultrafiltration and dialysis
Hemodynamic changes during sequential ultrafiltration and dialysis. Seven patients on regular dialysis were studied to elucidate the hemodynamic changes during ultrafiltration and dialysis, performed sequentially, the period of ultrafiltration (1 hour) either preceding or following dialysis (3 hours...
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| Veröffentlicht in: | Kidney international 1979-04, Vol.15 (4), p.411-418 |
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| creator | Wehle, Bertil Asaba, Hiroyuki Castenfors, Jan Fürst, Peter Gunnarsson, Bo Shaldon, Stanley Bergström, Jonas |
| description | Hemodynamic changes during sequential ultrafiltration and dialysis. Seven patients on regular dialysis were studied to elucidate the hemodynamic changes during ultrafiltration and dialysis, performed sequentially, the period of ultrafiltration (1 hour) either preceding or following dialysis (3 hours). During dialysis, ultrafiltration was prevented by applying positive pressure in the dialysate compartment. Cardiac index (dye dilution: indocyanine green), heart rate, stroke volume index, blood pressure, and total peripheral vascular resistance index were measured. During ultrafiltration, cardiac index and stroke volume index decreased, but heart rate was not significantly changed. Total peripheral vascular resistance increased, resulting in unchanged blood pressure. During dialysis, the total peripheral vascular resistance decreased, but cardiac index and heart rate increased. BP decreased when the increase in cardiac index was insufficient to compensate for the decrease in total peripheral vascular resistance. PRA increased during ultrafiltration due to hypovolemia and decreased during dialysis, presumably due to decreased sympathetic activity which may also be a cause of dialysis-induced vasodilation.
Modifications hémodynamiques au cours de l'ultrafiltration et de la dialyse séquentielles. Sept malades soumis régulièrement à la dialyse ont été étudiés afin d'analyser les modifications hémodynamiques au cours de l'ultrafiltration et de la dialyse réalisées séquentiellement. La période d'ultrafiltration (1 heure) a soit précédé soit suivi celle de la dialyse (3 heures). Au cours de la dialyse l'ultrafiltration a été éliminée par l'application d'une pression positive au compartiment contenant le dialysat. L'index cardiaque (dilution de colorant:indocyanine vert), le rhythme cardiaque, l'index d'éjection, la pression sanguine et la résistance vasculaire périphérique totale ont été mesurés. Au cours de l'ultrafiltration l'index cardiaque et le volume d'éjection diminuent, mais le rythme cardiaque n'est pas significativement modifié. La résistance vasculaire périphérique totale augmente, ce qui a pour résultat l'absence de modification de la pression sanguine. Au cours de la dialyse la résistance vasculaire périphérique totale diminue, alors que l'index et le rythme cardiaques augmentent. La pression sanguine diminue quand l'augmentation de l'index cardiaque est insuffisante pour compenser la diminution de la résistance vasculaire périphérique totale. L'activi |
| doi_str_mv | 10.1038/ki.1979.53 |
| format | Article |
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Modifications hémodynamiques au cours de l'ultrafiltration et de la dialyse séquentielles. Sept malades soumis régulièrement à la dialyse ont été étudiés afin d'analyser les modifications hémodynamiques au cours de l'ultrafiltration et de la dialyse réalisées séquentiellement. La période d'ultrafiltration (1 heure) a soit précédé soit suivi celle de la dialyse (3 heures). Au cours de la dialyse l'ultrafiltration a été éliminée par l'application d'une pression positive au compartiment contenant le dialysat. L'index cardiaque (dilution de colorant:indocyanine vert), le rhythme cardiaque, l'index d'éjection, la pression sanguine et la résistance vasculaire périphérique totale ont été mesurés. Au cours de l'ultrafiltration l'index cardiaque et le volume d'éjection diminuent, mais le rythme cardiaque n'est pas significativement modifié. La résistance vasculaire périphérique totale augmente, ce qui a pour résultat l'absence de modification de la pression sanguine. Au cours de la dialyse la résistance vasculaire périphérique totale diminue, alors que l'index et le rythme cardiaques augmentent. La pression sanguine diminue quand l'augmentation de l'index cardiaque est insuffisante pour compenser la diminution de la résistance vasculaire périphérique totale. L'activité rénine plasmatique augmente au cours de l'ultrafiltration du fait de l'hypovolémie et diminue durant la dialyse, probablement du fait de la diminution de l'activité sympathique qui peut aussi être une cause de vasodilatation induite par la dialyse.</description><identifier>ISSN: 0085-2538</identifier><identifier>EISSN: 1523-1755</identifier><identifier>DOI: 10.1038/ki.1979.53</identifier><identifier>PMID: 513498</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Blood Pressure ; Body Weight ; Female ; Heart Rate ; Hemodynamics ; Humans ; Kidney Diseases - physiopathology ; Kidney Diseases - therapy ; Male ; Methods ; Middle Aged ; Renal Dialysis ; Renin - blood ; Stroke Volume ; Time Factors ; Ultrafiltration ; Vascular Resistance</subject><ispartof>Kidney international, 1979-04, Vol.15 (4), p.411-418</ispartof><rights>1979 International Society of Nephrology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-5577c9b20aec864b245b367256fd99d31874bf51ec783e704988de653de62513</citedby><cites>FETCH-LOGICAL-c362t-5577c9b20aec864b245b367256fd99d31874bf51ec783e704988de653de62513</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/513498$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wehle, Bertil</creatorcontrib><creatorcontrib>Asaba, Hiroyuki</creatorcontrib><creatorcontrib>Castenfors, Jan</creatorcontrib><creatorcontrib>Fürst, Peter</creatorcontrib><creatorcontrib>Gunnarsson, Bo</creatorcontrib><creatorcontrib>Shaldon, Stanley</creatorcontrib><creatorcontrib>Bergström, Jonas</creatorcontrib><title>Hemodynamic changes during sequential ultrafiltration and dialysis</title><title>Kidney international</title><addtitle>Kidney Int</addtitle><description>Hemodynamic changes during sequential ultrafiltration and dialysis. Seven patients on regular dialysis were studied to elucidate the hemodynamic changes during ultrafiltration and dialysis, performed sequentially, the period of ultrafiltration (1 hour) either preceding or following dialysis (3 hours). During dialysis, ultrafiltration was prevented by applying positive pressure in the dialysate compartment. Cardiac index (dye dilution: indocyanine green), heart rate, stroke volume index, blood pressure, and total peripheral vascular resistance index were measured. During ultrafiltration, cardiac index and stroke volume index decreased, but heart rate was not significantly changed. Total peripheral vascular resistance increased, resulting in unchanged blood pressure. During dialysis, the total peripheral vascular resistance decreased, but cardiac index and heart rate increased. BP decreased when the increase in cardiac index was insufficient to compensate for the decrease in total peripheral vascular resistance. PRA increased during ultrafiltration due to hypovolemia and decreased during dialysis, presumably due to decreased sympathetic activity which may also be a cause of dialysis-induced vasodilation.
Modifications hémodynamiques au cours de l'ultrafiltration et de la dialyse séquentielles. Sept malades soumis régulièrement à la dialyse ont été étudiés afin d'analyser les modifications hémodynamiques au cours de l'ultrafiltration et de la dialyse réalisées séquentiellement. La période d'ultrafiltration (1 heure) a soit précédé soit suivi celle de la dialyse (3 heures). Au cours de la dialyse l'ultrafiltration a été éliminée par l'application d'une pression positive au compartiment contenant le dialysat. L'index cardiaque (dilution de colorant:indocyanine vert), le rhythme cardiaque, l'index d'éjection, la pression sanguine et la résistance vasculaire périphérique totale ont été mesurés. Au cours de l'ultrafiltration l'index cardiaque et le volume d'éjection diminuent, mais le rythme cardiaque n'est pas significativement modifié. La résistance vasculaire périphérique totale augmente, ce qui a pour résultat l'absence de modification de la pression sanguine. Au cours de la dialyse la résistance vasculaire périphérique totale diminue, alors que l'index et le rythme cardiaques augmentent. La pression sanguine diminue quand l'augmentation de l'index cardiaque est insuffisante pour compenser la diminution de la résistance vasculaire périphérique totale. L'activité rénine plasmatique augmente au cours de l'ultrafiltration du fait de l'hypovolémie et diminue durant la dialyse, probablement du fait de la diminution de l'activité sympathique qui peut aussi être une cause de vasodilatation induite par la dialyse.</description><subject>Adult</subject><subject>Aged</subject><subject>Blood Pressure</subject><subject>Body Weight</subject><subject>Female</subject><subject>Heart Rate</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Kidney Diseases - physiopathology</subject><subject>Kidney Diseases - therapy</subject><subject>Male</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Renal Dialysis</subject><subject>Renin - blood</subject><subject>Stroke Volume</subject><subject>Time Factors</subject><subject>Ultrafiltration</subject><subject>Vascular Resistance</subject><issn>0085-2538</issn><issn>1523-1755</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1979</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkL1PwzAQxS3EVykszAyZGJBS7DiOnREqoEiVWLpbjn0ppolT7AQp_z2uUjGx3On0fnp69xC6JXhBMBWPO7sgJS8XjJ6gGWEZTQln7BTNMBYszRgVl-gqhC8c75LiC3TOCM1LMUPPK2g7MzrVWp3oT-W2EBIzeOu2SYDvAVxvVZMMTe9VbQ-zt51LlDOJicIYbLhGZ7VqAtwc9xxtXl82y1W6_nh7Xz6tU02LrE8Z41yXVYYVaFHkVZazihY8Y0VtytJQInhe1YyA5oICxzGeMFAwGkcW487R_WS7913MFXrZ2qChaZSDbgiS51wUlLIIPkyg9l0IHmq597ZVfpQEy0NdcmfloS7JaITvjq5D1YL5Q6d-opxPMsTHfix4GbQFp8FYD7qXprP_uf4Ck3h3EA</recordid><startdate>197904</startdate><enddate>197904</enddate><creator>Wehle, Bertil</creator><creator>Asaba, Hiroyuki</creator><creator>Castenfors, Jan</creator><creator>Fürst, Peter</creator><creator>Gunnarsson, Bo</creator><creator>Shaldon, Stanley</creator><creator>Bergström, Jonas</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><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>197904</creationdate><title>Hemodynamic changes during sequential ultrafiltration and dialysis</title><author>Wehle, Bertil ; Asaba, Hiroyuki ; Castenfors, Jan ; Fürst, Peter ; Gunnarsson, Bo ; Shaldon, Stanley ; Bergström, Jonas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-5577c9b20aec864b245b367256fd99d31874bf51ec783e704988de653de62513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1979</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Blood Pressure</topic><topic>Body Weight</topic><topic>Female</topic><topic>Heart Rate</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Kidney Diseases - physiopathology</topic><topic>Kidney Diseases - therapy</topic><topic>Male</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Renal Dialysis</topic><topic>Renin - blood</topic><topic>Stroke Volume</topic><topic>Time Factors</topic><topic>Ultrafiltration</topic><topic>Vascular Resistance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wehle, Bertil</creatorcontrib><creatorcontrib>Asaba, Hiroyuki</creatorcontrib><creatorcontrib>Castenfors, Jan</creatorcontrib><creatorcontrib>Fürst, Peter</creatorcontrib><creatorcontrib>Gunnarsson, Bo</creatorcontrib><creatorcontrib>Shaldon, Stanley</creatorcontrib><creatorcontrib>Bergström, Jonas</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><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>Kidney international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wehle, Bertil</au><au>Asaba, Hiroyuki</au><au>Castenfors, Jan</au><au>Fürst, Peter</au><au>Gunnarsson, Bo</au><au>Shaldon, Stanley</au><au>Bergström, Jonas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hemodynamic changes during sequential ultrafiltration and dialysis</atitle><jtitle>Kidney international</jtitle><addtitle>Kidney Int</addtitle><date>1979-04</date><risdate>1979</risdate><volume>15</volume><issue>4</issue><spage>411</spage><epage>418</epage><pages>411-418</pages><issn>0085-2538</issn><eissn>1523-1755</eissn><abstract>Hemodynamic changes during sequential ultrafiltration and dialysis. Seven patients on regular dialysis were studied to elucidate the hemodynamic changes during ultrafiltration and dialysis, performed sequentially, the period of ultrafiltration (1 hour) either preceding or following dialysis (3 hours). During dialysis, ultrafiltration was prevented by applying positive pressure in the dialysate compartment. Cardiac index (dye dilution: indocyanine green), heart rate, stroke volume index, blood pressure, and total peripheral vascular resistance index were measured. During ultrafiltration, cardiac index and stroke volume index decreased, but heart rate was not significantly changed. Total peripheral vascular resistance increased, resulting in unchanged blood pressure. During dialysis, the total peripheral vascular resistance decreased, but cardiac index and heart rate increased. BP decreased when the increase in cardiac index was insufficient to compensate for the decrease in total peripheral vascular resistance. PRA increased during ultrafiltration due to hypovolemia and decreased during dialysis, presumably due to decreased sympathetic activity which may also be a cause of dialysis-induced vasodilation.
Modifications hémodynamiques au cours de l'ultrafiltration et de la dialyse séquentielles. Sept malades soumis régulièrement à la dialyse ont été étudiés afin d'analyser les modifications hémodynamiques au cours de l'ultrafiltration et de la dialyse réalisées séquentiellement. La période d'ultrafiltration (1 heure) a soit précédé soit suivi celle de la dialyse (3 heures). Au cours de la dialyse l'ultrafiltration a été éliminée par l'application d'une pression positive au compartiment contenant le dialysat. L'index cardiaque (dilution de colorant:indocyanine vert), le rhythme cardiaque, l'index d'éjection, la pression sanguine et la résistance vasculaire périphérique totale ont été mesurés. Au cours de l'ultrafiltration l'index cardiaque et le volume d'éjection diminuent, mais le rythme cardiaque n'est pas significativement modifié. La résistance vasculaire périphérique totale augmente, ce qui a pour résultat l'absence de modification de la pression sanguine. Au cours de la dialyse la résistance vasculaire périphérique totale diminue, alors que l'index et le rythme cardiaques augmentent. La pression sanguine diminue quand l'augmentation de l'index cardiaque est insuffisante pour compenser la diminution de la résistance vasculaire périphérique totale. L'activité rénine plasmatique augmente au cours de l'ultrafiltration du fait de l'hypovolémie et diminue durant la dialyse, probablement du fait de la diminution de l'activité sympathique qui peut aussi être une cause de vasodilatation induite par la dialyse.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>513498</pmid><doi>10.1038/ki.1979.53</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Kidney international, 1979-04, Vol.15 (4), p.411-418 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adult Aged Blood Pressure Body Weight Female Heart Rate Hemodynamics Humans Kidney Diseases - physiopathology Kidney Diseases - therapy Male Methods Middle Aged Renal Dialysis Renin - blood Stroke Volume Time Factors Ultrafiltration Vascular Resistance |
| title | Hemodynamic changes during sequential ultrafiltration and dialysis |
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