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What Should Dialysis Patients Do with Refractory Hypertension

What Should Dialysis Patients Do with Refractory HypertensionHypertension or high blood pressure is one common complication of end stage renal disease. In most cases, dialysis can help lower high blood pressure effectively. However, if high blood pressure can’t be reduced by dialysis, patients should modify their treatment plan timely.

Most often, there are two causes for dialysis patients with refractory high blood pressure. One is increased blood volume which is caused by too much fluid accumulating in the body. The other is the active RAS system. If dialysis fails to manage these two problems, their high blood pressure won’t be controlled very well.

How to lower hypertension for dialysis patients? According to the above causes, we would like to give out the following suggestions.

On one hand, patients should control their weight. Many people think they still have urine, so they don’t want to dehydrate. So, their weight doesn’t gain a lot, but their high blood pressure can’t be controlled very well. In this condition, patients try to filter some fluid through dialysis. Then, their blood pressure may be controlled well.

On the other hand, if increased blood pressure isn’t associated with blood volume, patients should consider the stimulated RAS. In this condition, ACEI and ARB have the effects of blocking RAS system.

Additionally, sympathetic nervous excitement is one trigger of high blood pressure for uremia patients, so patients can take β receptor blocker. However, when patients take these medications, they should observe the changes of their heartbeat. If their heartbeat is too slow, they should stop their medicines.

The above are some methods that can help deal with refractory hypertension for dialysis patients. The detailed treatment should depend on patients’ illness condition. To get an individual treatment plan, you can leave a message below or email to

  • Tag: Dialysis
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