Routine Bioimpedance-Derived Volume Assessment for All Hypertensives: A New Paradigm

American Journal of Nephrology - Tập 40 Số 5 - Trang 434-440 - 2014
Adrian Covic1, Luminiţa Voroneanu1, David Goldsmith2
1Nephrology Clinic, Dialysis and Renal Transplant Center, ‘C.I. PARHON’ University Hospital, ‘Gr. T. Popa’ University of Medicine and Pharmacy, Iasi, Romania
2Renal Unit, Guy's and St Thomas’ NHS Foundation Hospital, King's Health Partners, London, UK

Tóm tắt

Hypertension is one of the most common worldwide diseases. Is linked with increased morbidity and mortality and amplified costs to society; in this context, preventing and treating hypertension is an imperative public health challenge. Unidentified, clinically unapparent volume expansion is an important cause for hypertension. Optimization of fluid status was associated with an improvement in BP control, a substantial regression of the left ventricular mass index, arterial stiffness and better survival rate in several cohorts. Clinical assessment of hydration status is an inaccurate clinical science. Bioimpedance provides a noninvasive and reliable, simple, reproducible technology for diagnosing subclinical fluid accumulation. Several small studies and a recent meta-analysis performed in patients with resistant hypertension reported an improved BP control in the impedance treated group compared with the group of patients treated as per clinical judgment alone. A combined approach (using both sphygmomanometers and bioimpedance) and individualized antihypertensive treatment in hypertensive's patients it seems probable to improve BP control and possibly end organ damage. i 2014 S. Karger AG, Basel

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American Journal of Nephrology

Tập 40 Số 5

434-440

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