“Hipertensión arterial y su relación en las variaciones de la función renal residual en pacientes sometidos a diálisis en el centro de diálisis “contigo” de la ciudad de Latacunga en el periodo agosto 2011– febrero 2012”

Abstract

This study was a retrospective cross-sectional approach, spanned the period August 2011 to February 2012. The study population was 64 patients of both genders, with previous diagnosis of kidney disease stage V on dialysis process, attending the Renal Unit of the Clinic "You." A19 we excluded patients, 4 of whom died during the time studied, 3 had anury, 7 had constant post dialysis hypotension and 5 incomplete medical records. The results showed a higher incidence of women with 60%, the age of greatest risk comprises between 46-55 years with 26.7%, between 15 and 81 years of age half 42.2% is the antecedent hypertension followed by diabetes mellitus with a 22.2%, time of dialysis was> 7 months in 66.7%. Was identified that patients older than 66 years only 6.6%, the range of 46-55% decreased filtration majority 17.7%. In this relationship with the initial weight > 4 kg in a dry weight basis, 11.1% of them could control the T/A, but 4.4% was difficult to manage despite the ultrafiltration and antihypertensive medication, in patients 2-3 kg 26.6% controlled his T/A. The group of 0-1kg of water by weight 17.7% was difficult to control because it was renin-dependent hypertension. The decrease in glomerular filtration rate increased in patients with mixed hypertension (renin dependent volume) in 26.6% keeping the filtrate in a 4.4%, normotensive patients glomerular filtration rate increased by 6.6 % and decreased by 2.2% filtration. The renin affected more residual renal function decline in glomerular filtration rate by 20%. In patients who did not control blood pressure 35.5% decreased glomerular filtration rate confirming the hypothesis.