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Systolic Blood Pressure and Mortality in Patients on Hemodialysis

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Abstract

Hypertension is extremely common in patients with end-stage renal disease who are receiving hemodialysis, and cardiovascular disease remains the leading cause of death in these patients. However, optimal blood pressure management strategies in this high-risk population are still controversial. This review first discusses the complex association of systolic blood pressure with clinical outcomes in patients on hemodialysis, with a focus on several recent studies. Next, it updates the reader on issues related to optimal timing and methods of blood pressure measurement, appropriate blood pressure targets, and pharmacologic and nonpharmacologic hypertension treatment strategies for patients on hemodialysis.

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Acknowledgments

I thank Drs. Glenn M. Chertow and Jeffry Young for their critical review of this manuscript.

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No potential conflicts of interest relevant to this article were reported.

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Correspondence to Tara I. Chang.

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Chang, T.I. Systolic Blood Pressure and Mortality in Patients on Hemodialysis. Curr Hypertens Rep 13, 362–369 (2011). https://doi.org/10.1007/s11906-011-0223-x

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