TY - JOUR
T1 - High Stroke Volume Variation Is an Independent Predictor for Decreased Blood Pressure During Hemodialysis
AU - Yoshihara, Fumiki
AU - Kishida, Masatsugu
AU - Ogawa, Koji
AU - Nishigaki, Takayuki
AU - Nakasaki, Hironori
AU - Ishizuka, Azusa
AU - Koezuka, Ryo
AU - Matsuo, Miki
AU - Hayashi, Teruyuki
AU - Nakamura, Satoko
N1 - Publisher Copyright:
© 2017 International Society for Apheresis, Japanese Society for Apheresis, and Japanese Society for Dialysis Therapy
PY - 2017/4/1
Y1 - 2017/4/1
N2 - It currently remains unclear whether stroke volume variation (SVV) before hemodialysis (HD) is an independent predictor of decreased blood pressure (BP) during HD. Fifty-two patients were divided into two groups (Decreased BP during HD group: N = 10, Non-decreased BP group: N = 42). Fractional shortening was lower, and mean arterial pressure (MAP) and SVV were higher in the Decreased BP during HD group. A multiple logistic regression analysis identified low fractional shortening, high MAP, and high SVV as independent predictors of decreased BP during HD. The areas under the ROC curves were as follows: 0.849 for MAP, 0.712 for SVV, and 0.893 for MAP and SVV. Optimal threshold values were 93.0 mm Hg for MAP and 17.3 % for SVV. A multivariate regression analysis identified anemia and a longer dialysis vintage as independently related factors for higher SVV. Our results suggest that high SVV is an independent predictor for decreased BP during HD.
AB - It currently remains unclear whether stroke volume variation (SVV) before hemodialysis (HD) is an independent predictor of decreased blood pressure (BP) during HD. Fifty-two patients were divided into two groups (Decreased BP during HD group: N = 10, Non-decreased BP group: N = 42). Fractional shortening was lower, and mean arterial pressure (MAP) and SVV were higher in the Decreased BP during HD group. A multiple logistic regression analysis identified low fractional shortening, high MAP, and high SVV as independent predictors of decreased BP during HD. The areas under the ROC curves were as follows: 0.849 for MAP, 0.712 for SVV, and 0.893 for MAP and SVV. Optimal threshold values were 93.0 mm Hg for MAP and 17.3 % for SVV. A multivariate regression analysis identified anemia and a longer dialysis vintage as independently related factors for higher SVV. Our results suggest that high SVV is an independent predictor for decreased BP during HD.
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U2 - 10.1111/1744-9987.12511
DO - 10.1111/1744-9987.12511
M3 - Article
C2 - 28296183
AN - SCOPUS:85016968331
SN - 1744-9979
VL - 21
SP - 166
EP - 172
JO - Therapeutic Apheresis and Dialysis
JF - Therapeutic Apheresis and Dialysis
IS - 2
ER -