I Brazilian guideline on hypertension in dialysis of the Brazilian Society of Nephrology
Abstract Hypertension in dialysis patients (HTND) has a high prevalence, affecting at least 80% or more of patients, and its management in the nephrology practice is heterogeneous and often empirical. Knowing how to define, understand the pathophysiology, diagnose, monitor and treat with lifestyle c...
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| Language: | English |
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Sociedade Brasileira de Nefrologia
2025-02-01
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| Series: | Brazilian Journal of Nephrology |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002025000105001&lng=en&tlng=en |
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| author | Cibele Isaac Saad Rodrigues Sebastião Rodrigues Ferreira-Filho Ana Flávia de Souza Moura Carlos Eduardo Poli-de-Figueiredo Dirceu Reis da Silva Fernanda Salomão Gorayeb Polacchini Fernando Antônio de Almeida Maria Eliete Pinheiro Rodrigo Bezerra Rogério Baumgratz de Paula Aldo José Peixoto Ana Elizabeth Prado Lima Figueiredo Audes Diógenes Magalhães Feitosa Carlos Alberto Machado Celso Amodeo Décio Mion Junior Elizabeth Silaid Muxfeldt Giovanio Vieira da Silva José Andrade Moura-Neto José Muniz Pazeli Júnior Leda Daud Lotaif Luciano F. Drager Luis Cuadrado Martín Luiz Aparecido Bortolotto Marcus Gomes Bastos Marcus Vinícius Bolívar Malachias Marcos Vinícius Paiva Cavalcanti Moreira Maria Eugenia Fernandes Canziani Roberto Dischinger Miranda Roberto Jorge da Silva Franco Roberto Pecoits Filho Rogerio Andrade Mulinari Rosilene Motta Elias Weimar Kunz Sebba Barroso Wilson Nadruz |
| author_facet | Cibele Isaac Saad Rodrigues Sebastião Rodrigues Ferreira-Filho Ana Flávia de Souza Moura Carlos Eduardo Poli-de-Figueiredo Dirceu Reis da Silva Fernanda Salomão Gorayeb Polacchini Fernando Antônio de Almeida Maria Eliete Pinheiro Rodrigo Bezerra Rogério Baumgratz de Paula Aldo José Peixoto Ana Elizabeth Prado Lima Figueiredo Audes Diógenes Magalhães Feitosa Carlos Alberto Machado Celso Amodeo Décio Mion Junior Elizabeth Silaid Muxfeldt Giovanio Vieira da Silva José Andrade Moura-Neto José Muniz Pazeli Júnior Leda Daud Lotaif Luciano F. Drager Luis Cuadrado Martín Luiz Aparecido Bortolotto Marcus Gomes Bastos Marcus Vinícius Bolívar Malachias Marcos Vinícius Paiva Cavalcanti Moreira Maria Eugenia Fernandes Canziani Roberto Dischinger Miranda Roberto Jorge da Silva Franco Roberto Pecoits Filho Rogerio Andrade Mulinari Rosilene Motta Elias Weimar Kunz Sebba Barroso Wilson Nadruz |
| author_sort | Cibele Isaac Saad Rodrigues |
| collection | DOAJ |
| description | Abstract Hypertension in dialysis patients (HTND) has a high prevalence, affecting at least 80% or more of patients, and its management in the nephrology practice is heterogeneous and often empirical. Knowing how to define, understand the pathophysiology, diagnose, monitor and treat with lifestyle changes, and adjust antihypertensive drugs to achieve the recommended blood pressure (BP) target - to reduce morbidity and mortality - requires specific knowledge and approaches within the contexts of hemodialysis (HD) and peritoneal dialysis (PD). This document is the first guideline of the Brazilian Society of Nephrology, developed by the departments of Hypertension and Dialysis. It aims to guide physicians who provide care in dialysis centers on how to manage patients with HTND, in a comprehensive and individualized manner, based on the critical appraisal of the best available scientific evidence. When such evidence is scarce or unavailable, the opinion of specialists should be recommended. The different topics covered include HTND definition (pre-HD BP ≥ 140/90 mmHg and post-HD BP ≥ 130/80 mmHg), epidemiology, and pathophysiology; diagnosis of HTND preferably with BP measurements outside the dialysis setting (BP ≥ 130/80 mmHg); complementary assessment; blood pressure targets; non-pharmacological treatment; use of the most appropriate antihypertensive medications; special situations; and complications of HTND, predominantly cardiovascular ones. |
| format | Article |
| id | doaj-art-ec3f4b6e885040d4ba1bb9dfab5b0de6 |
| institution | OA Journals |
| issn | 2175-8239 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Sociedade Brasileira de Nefrologia |
| record_format | Article |
| series | Brazilian Journal of Nephrology |
| spelling | doaj-art-ec3f4b6e885040d4ba1bb9dfab5b0de62025-08-20T02:15:34ZengSociedade Brasileira de NefrologiaBrazilian Journal of Nephrology2175-82392025-02-0147110.1590/2175-8239-jbn-2024-0033enI Brazilian guideline on hypertension in dialysis of the Brazilian Society of NephrologyCibele Isaac Saad Rodrigueshttps://orcid.org/0000-0001-9490-7997Sebastião Rodrigues Ferreira-Filhohttps://orcid.org/0000-0003-4176-9572Ana Flávia de Souza Mourahttps://orcid.org/0000-0001-7368-4704Carlos Eduardo Poli-de-Figueiredohttps://orcid.org/0000-0002-7333-8884Dirceu Reis da Silvahttps://orcid.org/0000-0002-7587-0604Fernanda Salomão Gorayeb Polacchinihttps://orcid.org/0000-0001-8803-1300Fernando Antônio de Almeidahttps://orcid.org/0000-0002-9404-9707Maria Eliete Pinheirohttps://orcid.org/0000-0003-2566-0016Rodrigo Bezerrahttps://orcid.org/0000-0001-9719-3176Rogério Baumgratz de Paulahttps://orcid.org/0000-0002-7778-2907Aldo José Peixotohttps://orcid.org/0000-0003-1525-2991Ana Elizabeth Prado Lima Figueiredohttps://orcid.org/0000-0002-8555-8649Audes Diógenes Magalhães Feitosahttps://orcid.org/0000-0002-9983-4720Carlos Alberto Machadohttps://orcid.org/0000-0003-3056-3077Celso Amodeohttps://orcid.org/0000-0002-8523-760XDécio Mion Juniorhttps://orcid.org/0000-0002-1564-121XElizabeth Silaid Muxfeldthttps://orcid.org/0000-0003-3853-7842Giovanio Vieira da Silvahttps://orcid.org/0000-0003-3370-9326José Andrade Moura-Netohttps://orcid.org/0000-0003-1339-3731José Muniz Pazeli Júniorhttps://orcid.org/0000-0003-0508-9887Leda Daud Lotaifhttps://orcid.org/0000-0003-1390-8651Luciano F. Dragerhttps://orcid.org/0000-0002-2081-6846Luis Cuadrado Martínhttps://orcid.org/0000-0003-1435-7994Luiz Aparecido Bortolottohttps://orcid.org/0000-0002-4865-6442Marcus Gomes Bastoshttps://orcid.org/0000-0003-3651-9923Marcus Vinícius Bolívar Malachiashttps://orcid.org/0000-0002-8171-3920Marcos Vinícius Paiva Cavalcanti Moreirahttps://orcid.org/0009-0006-0747-5051Maria Eugenia Fernandes Canzianihttps://orcid.org/0000-0002-9645-5303Roberto Dischinger Mirandahttps://orcid.org/0000-0002-1582-7268Roberto Jorge da Silva Francohttps://orcid.org/0000-0001-9787-4393Roberto Pecoits Filhohttps://orcid.org/0000-0002-0255-6710Rogerio Andrade Mulinarihttps://orcid.org/0000-0002-5704-5248Rosilene Motta Eliashttps://orcid.org/0000-0003-2212-041XWeimar Kunz Sebba Barrosohttps://orcid.org/0000-0002-1265-1930Wilson Nadruzhttps://orcid.org/0000-0002-0003-5102Abstract Hypertension in dialysis patients (HTND) has a high prevalence, affecting at least 80% or more of patients, and its management in the nephrology practice is heterogeneous and often empirical. Knowing how to define, understand the pathophysiology, diagnose, monitor and treat with lifestyle changes, and adjust antihypertensive drugs to achieve the recommended blood pressure (BP) target - to reduce morbidity and mortality - requires specific knowledge and approaches within the contexts of hemodialysis (HD) and peritoneal dialysis (PD). This document is the first guideline of the Brazilian Society of Nephrology, developed by the departments of Hypertension and Dialysis. It aims to guide physicians who provide care in dialysis centers on how to manage patients with HTND, in a comprehensive and individualized manner, based on the critical appraisal of the best available scientific evidence. When such evidence is scarce or unavailable, the opinion of specialists should be recommended. The different topics covered include HTND definition (pre-HD BP ≥ 140/90 mmHg and post-HD BP ≥ 130/80 mmHg), epidemiology, and pathophysiology; diagnosis of HTND preferably with BP measurements outside the dialysis setting (BP ≥ 130/80 mmHg); complementary assessment; blood pressure targets; non-pharmacological treatment; use of the most appropriate antihypertensive medications; special situations; and complications of HTND, predominantly cardiovascular ones.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002025000105001&lng=en&tlng=enHypertensionKidney DialysisPeritoneal DialysisRisk Factors; Pharmacological TreatmentClinical Practice Guidelines as TopicChronic Kidney FailureRenal HypertensionBlood Pressure DeterminationChronic Kidney Insufficiency |
| spellingShingle | Cibele Isaac Saad Rodrigues Sebastião Rodrigues Ferreira-Filho Ana Flávia de Souza Moura Carlos Eduardo Poli-de-Figueiredo Dirceu Reis da Silva Fernanda Salomão Gorayeb Polacchini Fernando Antônio de Almeida Maria Eliete Pinheiro Rodrigo Bezerra Rogério Baumgratz de Paula Aldo José Peixoto Ana Elizabeth Prado Lima Figueiredo Audes Diógenes Magalhães Feitosa Carlos Alberto Machado Celso Amodeo Décio Mion Junior Elizabeth Silaid Muxfeldt Giovanio Vieira da Silva José Andrade Moura-Neto José Muniz Pazeli Júnior Leda Daud Lotaif Luciano F. Drager Luis Cuadrado Martín Luiz Aparecido Bortolotto Marcus Gomes Bastos Marcus Vinícius Bolívar Malachias Marcos Vinícius Paiva Cavalcanti Moreira Maria Eugenia Fernandes Canziani Roberto Dischinger Miranda Roberto Jorge da Silva Franco Roberto Pecoits Filho Rogerio Andrade Mulinari Rosilene Motta Elias Weimar Kunz Sebba Barroso Wilson Nadruz I Brazilian guideline on hypertension in dialysis of the Brazilian Society of Nephrology Brazilian Journal of Nephrology Hypertension Kidney Dialysis Peritoneal Dialysis Risk Factors; Pharmacological Treatment Clinical Practice Guidelines as Topic Chronic Kidney Failure Renal Hypertension Blood Pressure Determination Chronic Kidney Insufficiency |
| title | I Brazilian guideline on hypertension in dialysis of the Brazilian Society of Nephrology |
| title_full | I Brazilian guideline on hypertension in dialysis of the Brazilian Society of Nephrology |
| title_fullStr | I Brazilian guideline on hypertension in dialysis of the Brazilian Society of Nephrology |
| title_full_unstemmed | I Brazilian guideline on hypertension in dialysis of the Brazilian Society of Nephrology |
| title_short | I Brazilian guideline on hypertension in dialysis of the Brazilian Society of Nephrology |
| title_sort | i brazilian guideline on hypertension in dialysis of the brazilian society of nephrology |
| topic | Hypertension Kidney Dialysis Peritoneal Dialysis Risk Factors; Pharmacological Treatment Clinical Practice Guidelines as Topic Chronic Kidney Failure Renal Hypertension Blood Pressure Determination Chronic Kidney Insufficiency |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002025000105001&lng=en&tlng=en |
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