Maulana Muhtadin Suryansyah, Mochammad Thaha, Budiono Budiono

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Background: Various of studies report there was a link between changes in blood pressure during hemodialysis and the level of patient’s morbidity and mortality. Higher amount of mortality was found in groups of patients who have lower or higher blood pressure. Thus it is important to know the variability of blood pressure during hemodialysis. Objective: This study aims to determine blood pressure variability, namely systolic blood pressure and diastolic blood pressure during hemodialysis and determine the significance of changes in every hour of measurement. Material and method: The design of this study used a cross-sectional method with a total sample of 15 patients who have been diagnosed with Chronic Kidney Disease (CKD) and have been ungergone hemodialysis stably in the last 3 months. The data obtained were processed using paired T-Test and Wilcoxon test. Result: There was no significant difference in systolic blood pressure between hourly systolic blood pressure and a tendency to increase the mean systolic blood pressure during hemodialysis. In diastolic blood pressure, there was a difference between the mean diastole 3 and diastole 4, p = 0.007 (<0.05), while in other observation there were no significant differences. In the mean of diastolic blood pressure, there was a tendency to increase. Conclusion: During the hemodialysis process systolic blood pressure did not show a significant difference between the mean hours. In diastolic blood pressure, there was a significant difference between diastole 3 and diastole 4.


Blood pressure; hemodialysis; CKD; systole; diastole; Tekanan darah; hemodialisis; PGK; sistol; diastol

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Anderson, A. Yang, W. Townsend, R. Pan, Q. Chertow, G. Kusek, J. Bansal, N. McCulloch, C. Rahman, M. Kusek, J. Anderson, A. Xie, D. Townsend, R. Lora, C. Wright, J. Go, A.Ojo, A. Alper, A. Lustigova, E. Cuevas, M. Kallem, R. & Hsu, C., 2015. Time-updated systolic blood pressure and the progression of chronic kidney disease: a cohort study. Annals of Internal Medicine, 162(4): 258–265.

Bansal, N. McCulloch, C. Rahman, M.Kusek, J. Anderson, A.Xie, D. Townsend, R. Lora, C. Wright, J. Go, A. Ojo, A. Alper, A. Lustigova, E. Cuevas, M. Kallem, R. & Hsu, C., 2015. Blood pressure and risk of all-cause mortality in advanced chronic kidney disease and hemodialysis. Hypertension, 65(1): 93-100.

Berns, J.S., 2017. Patient education: Hemodialysis (Beyond the Basics) - UpToDate. Diunduh:13September2018dari basics?view=print.

Brzenzinski, W., 1990. Blood pressure. Dalam: H. Walker, ed.1990. Clinical Methods - The history, physical and laboratory examinations. 3rd ed. Boston: Buttherwoths. 95-97.

Hill, N.Fatoba, S. Oke, J. Hirst, J. O‟Callaghan, C. Lasserson, D. & Hobbs, F., 2016. Global prevalence of chronic kidney disease – a systematic review and meta-analysis. PLOS ONE, 11(7): e0158765.

Inrig, J.K., 2010. Intradialytic hypertension: a less-recognized cardiovascular complication of hemodialysis. American Journal of Kidney Diseases, 55(3): 580–589.

Jha, V. Garcia-Garcia, G. Iseki, K. Li, Z. Naicker, S. Plattner, B. Saran, R. Wang, A. & Yang, C., 2013. Chronic kidney disease: global dimension and perspectives. The Lancet, 382(9888): 260-272.

Kidney Disease: Improving Global Outcomes (KDIGO). 2013. Definition and classification of CKD. Kidney International Supplements, 3(1): 19-62.

Kovesdy, C. Bleyer, A. Molnar, M. Ma, J. Sim, J. Cushman, W. Quarles, L. &Kalantar-Zadeh, K., 2013. Blood pressure and mortality in U.S. Veterans with chronic kidney disease.Annals of Internal Medicine, 159(4): 233.

Kuipers, J.Oosterhuis, J. Krijnen, W. Dasselaar, J. Gaillard, C. Westerhuis, R. &Franssen, C., 2016. Prevalence of intradialytic hypotension, clinical symptoms and nursing interventions - a three-months, prospective study of 3818 haemodialysis sessions. BMC Nephrology, 17(1): 21.

Peralta, C. Norris, K. Li, S. Chang, T. Tamura, M. Jolly, S. Bakris, G. McCullough, P.Shlipak, M. & KEEP Investigators, 2012. Blood pressure components and end-stage renal disease in persons with chronic kidney disease. Archives of Internal Medicine, 172(1): 41.

Prodjosudjadi, W. & Suhardjono, A., 2009. End-stage renal disease in Indonesia: treatment development. Ethnicity and Disease, 19(1): 33-36.

Reeves, P.B. & McCausland, F.R., 2018. Mechanisms, clinical implications, and treatment of intradialytic hypotension. Clinical Journal of the American Society of Nephrology, 13(8): 1297–1303.

Shafiee, M.Chamanian, P. Shaker, P. Shahideh, Y. &Broumand, B., 2017. The impact of hemodialysis frequency and duration on blood pressure management and quality of life in end-stage renal disease patients. Healthcare, 5(3): 52.

Song, J., Lee, S., Suh, C. and Kim, M. (2002). Time-averaged concentration of dialysate sodium relates with sodium load and interdialytic weight gain during sodium-profiling hemodialysis. American Journal of Kidney Diseases, 40(2): 291-301.

Vadakedath, S. & Kandi, V., 2017. Dialysis: a review of the mechanisms underlying complications in the management of chronic renal failure. Cureus. 9(8): e1603.

Van Buren, P.N. & Inrig, J.K., 2016. Mechanisms and treatment of intradialytic hypertension. Blood Purification, 41(1–3): 188–193.


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