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Seasonal variation and predictors of intradialytic hypotension

Seasonal variation and predictors of intradialytic hypotension Hypertension Research (2021) 44:1551–1553 https://doi.org/10.1038/s41440-021-00730-1 COMMENT Naoki Nakagawa Received: 27 July 2021 / Accepted: 1 August 2021 / Published online: 20 August 2021 © The Japanese Society of Hypertension 2021 Hypertension is an important public health issue because of [4], predialysis systolic BP (SBP) in hemodialysis patients its association with a number of significant diseases and consistently follows a seasonal pattern as well, reaching a adverse outcomes [1]. However, in addition to hyperten- peak in the winter and a nadir in the summer [5]. This sion, intradialytic hypotension (IDH) is a major complica- variation has been mostly attributed to seasonal changes in tion affecting a significant proportion of chronic outside temperatures because high temperatures may result hemodialysis patients and is associated with adverse long- in vasodilatation with a decrease in peripheral vascular term outcomes, including higher cardiovascular and all- resistance, leading to a reduction in predialysis SBP. In cause mortality [2]. It is estimated that approximately contrast, nadirs in SBP are less affected by outside tem- 20–30% of all dialysis sessions are affected by IDH [3]. perature and are more responsive to room temperature IDH occurs due to the interaction among different factors, [4, 5]. However, seasonal variations and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Hypertension Research Springer Journals

Seasonal variation and predictors of intradialytic hypotension

Nakagawa, Naoki
Hypertension Research , Volume 44 (11) – Nov 1, 2021
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References (17)

Publisher
Springer Journals
Copyright
Copyright © The Author(s), under exclusive licence to The Japanese Society of Hypertension 2021
ISSN
0916-9636
eISSN
1348-4214
DOI
10.1038/s41440-021-00730-1
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Abstract

Hypertension Research (2021) 44:1551–1553 https://doi.org/10.1038/s41440-021-00730-1 COMMENT Naoki Nakagawa Received: 27 July 2021 / Accepted: 1 August 2021 / Published online: 20 August 2021 © The Japanese Society of Hypertension 2021 Hypertension is an important public health issue because of [4], predialysis systolic BP (SBP) in hemodialysis patients its association with a number of significant diseases and consistently follows a seasonal pattern as well, reaching a adverse outcomes [1]. However, in addition to hyperten- peak in the winter and a nadir in the summer [5]. This sion, intradialytic hypotension (IDH) is a major complica- variation has been mostly attributed to seasonal changes in tion affecting a significant proportion of chronic outside temperatures because high temperatures may result hemodialysis patients and is associated with adverse long- in vasodilatation with a decrease in peripheral vascular term outcomes, including higher cardiovascular and all- resistance, leading to a reduction in predialysis SBP. In cause mortality [2]. It is estimated that approximately contrast, nadirs in SBP are less affected by outside tem- 20–30% of all dialysis sessions are affected by IDH [3]. perature and are more responsive to room temperature IDH occurs due to the interaction among different factors, [4, 5]. However, seasonal variations and

Journal

Hypertension Research – Springer Journals

Published: Nov 1, 2021

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