The importance of bioimpedance (BIA) analysis and Cardio Tens (24-h ABPM and ECG) monitoring in the dialysis programme

The authors performed bioimpedance analysis and Cardio Tens (24-h ABPM and ECG) monitoring in 66 patients (28 males, 38 females) treated in the chronic haemodialysis programme. They investigated the correlations between the body weights before, during and after dialysis, the changes of the water com...

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Bibliographic Details
Published in:International urology and nephrology 1999, Vol.31 (4), p.547-555
Main Authors: Löcsey, L, Szlanka, B, Ménes, I, Kövér, A, Vitai, E, Malkócs, Z, Keresztes, P, Paragh, G
Format: Article
Language:English
Subjects:
Aged
Blood Pressure - physiology
Blood Pressure Monitoring, Ambulatory
Body Mass Index
Circadian Rhythm - physiology
Electric Impedance
Electrocardiography, Ambulatory
Female
Humans
Hypotension - etiology
Hypotension - physiopathology
Kidney Failure, Chronic - physiopathology
Kidney Failure, Chronic - therapy
Male
Middle Aged
Renal Dialysis - adverse effects
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Summary:The authors performed bioimpedance analysis and Cardio Tens (24-h ABPM and ECG) monitoring in 66 patients (28 males, 38 females) treated in the chronic haemodialysis programme. They investigated the correlations between the body weights before, during and after dialysis, the changes of the water compartments and fat body weight, and the recorded values of blood pressure and ECG alterations. On the basis of the measurements by this non-invasive method it is concluded that, as a result of dialysis and ultrafiltration, the total body weight and total body water are decreasing in a greater extent in men than in women. By gradually decreasing the body weight, the optimal dry weight could be attained, which resulted in the reduction of blood pressure or even normotension. In the course of dialysis the values of bioimpedance and bioreactance increase. The intradialytic hypotensive indispositions were accompanied by a significant reduction of bioreactance (n = 16). The BMI, total body weight and total body water hyperlipidaemic, hypalbuminic patients with treatment-resistant hypertension are considerably larger than those of the patients with normal blood pressure (p
ISSN:0301-1623
1573-2584
DOI:10.1023/A:1007131815673