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Increased screening for elevated blood pressure, self-monitoring may reduce risk of CKD

Nephrology News and Issues | Stanford University nephrologist Vivek Bhalla, MD, FASN, FAHA, understands the value of more aggressive screening for primary aldosteronism, a condition that can lead to high blood pressure.“I think awareness is a primary factor,” Bhalla, associate professor of medicine/nephrology and director of the Stanford Hypertension Center, told Healio/Nephrology News & Issues. “Our

New dialysis studies inform delivery of care, ways to improve patient outcomes

New dialysis studies inform delivery of care, ways to improve patient outcomes
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Low blood pressure during hemodialysis may indicate peripheral vascular disease

Using a large nationwide registry of patients receiving maintenance hemodialysis, this study published in the American Journal of Kidney Diseases found that higher frequency of low blood pressure episodes during hemodialysis was associated with a higher incidence of diagnosed peripheral arterial disease. Peripheral artery disease (PAD) is a condition characterized by progressive atherosclerotic narrowing or occlusion of the arteries, particularly to the lower extremities. PAD often goes undiagnosed in patients with kidney failure who may not experience traditional symptoms of claudication. It is plausible that sudden reductions in blood pressure as occurs during intradialytic hypotension (IDH) could reduce limb perfusion and lead to more PAD events or exacerbate PAD symptoms. Using a large nationwide registry of hemodialysis patients and the electronic health records of a large dialysis provider, researchers found that more frequent IDH was associated with a higher incidence of

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