Effect of Anti-embolism Stocking on Intrasession Hemodynamic Variables in Hemodialysis Patients.
- Author:
Deok Young KIM
1
;
Seoung Woo LEE
;
Su Hyun KWON
;
Joon Ho SONG
;
Moon Jae KIM
Author Information
1. Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea. nhkimj@inha.ac.kr
- Publication Type:Original Article
- Keywords:
Compression stockings;
Cardiovascular physiological phenomena;
Hemodialysis;
End stage renal disease
- MeSH:
Blood Volume;
Cardiac Output;
Cardiovascular Physiological Phenomena;
Diabetes Mellitus;
Female;
Hemodynamics;
Humans;
Kidney Failure, Chronic;
Renal Dialysis;
Stockings, Compression;
Stroke Volume;
Ultrafiltration;
Vascular Resistance
- From:Korean Journal of Nephrology
2010;29(5):593-599
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: There is no data about the effect of anti-embolism stockings on intrasession hemodynamics in end stage renal disease patients on hemodialysis (HD). We investigated whether it affects the hemodynamic changes during HD or not. METHODS: We performed 2 HD sessions, before (stocking negative, SN) and after (stocking positive, SP) putting on thigh-high anti-embolism stockings in 11 ESRD patients on HD. In each session, cardiac output (CO), stroke volume (SV), central blood volume (CBV), and peripheral resistance (PR) were measured by ultrasound velocity dilution method at 1 and 3 hours of HD. Ultrafiltration (UF) amount was matched during study. Hemodynamic variables were compared between SN and SP. RESULTS: Mean ages were 51+/-14 years, female was 8, diabetes mellitus was 4, and duration of HD was 56.9+/-28.9 months. There were no differences in pre- and post-HD SBP and DBP, UF amount at 1 hr and 3 hr of HD, and total UF amount between SN and SP. At 1 hr of HD, CBV was greater in SP than in SN (0.85+/-0.32 L vs. 0.93+/-0.32 L, p=0.003). CO (5.56+/-1.22 L/min vs. 5.14+/-1.35 L/min, p=0.075) and SV (73.77+/-19.11 mL vs. 68.95+/-22.21 mL, p=0.05) tended to be increased in SP than in SN. However, there were no differences in TPR between 2 groups. At 3 hr of HD, there were no differences in all hemodynamic variables bewteen SP and SN. CONCLUSION: At early phase of HD, anti-embolism stockings seem to increase CBV, but this effect seems to be attenuated at later phase.
