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Blood pressure management in the dialysis patient

  • Chapter
Pediatric Dialysis

Abstract

Cardiovascular disease is highly prevalent and the leading cause of mortality in adults receiving chronic dialysis1. Recent reports have shown that cardiovascular deaths are more than 1000-fold higher in children with end-stage renal disease (ESRD) than in the general age-matched population and account for approximately one-quarter of all pediatric and young adult deaths in this population2. The cause of this extremely high cardiovascular death rate likely includes some combination of the risk factors of hypertension, arteriosclerosis, chronic volume overload leading to dilated cardiomyopathy, left ventricular hypertrophy (LVH), left ventricular conduction abnormalities, coronary disease, small vessel disease, and uremia. Although the cardiovascular disease is multifactorial, hypertension is one of the major risk factors for cardiovascular disease in all patient populations and thus should be considered to have important pathogenic significance for the specific population of children with ESRD. The goal of this chapter will be to focus on the specific issue of hypertension in the pediatric ESRD population by reviewing current concepts in the definition, pathogenesis, evaluation, and management of hypertension in the pediatric dialysis patient.

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Authors
  1. J. A. Samuels
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  2. J. M. Sorof
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Editor information

Editors and Affiliations

  1. Children’s Mercy Hospital, University of Missouri, Kansas City School of Medicine, Kansas City, MO, USA

    Bradley A. Warady

  2. University Children’s Hospital, Heidelberg, Germany

    Franz S. Schaefer

  3. Health Science Center, State University of New York at Stony Brook, Stony Brook, NY, USA

    Richard N. Fine

  4. Lucille Packard Children’s Hospital at Stanford, Stanford University, School of Medicine, Stanford, CA, USA

    Steven R. Alexander

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© 2004 Springer Science+Business Media Dordrecht

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Samuels, J.A., Sorof, J.M. (2004). Blood pressure management in the dialysis patient. In: Warady, B.A., Schaefer, F.S., Fine, R.N., Alexander, S.R. (eds) Pediatric Dialysis. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-1031-3_20

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  • DOI: https://doi.org/10.1007/978-94-007-1031-3_20

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-3770-9

  • Online ISBN: 978-94-007-1031-3

  • eBook Packages: Springer Book Archive

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