Table 1.
Studies Evaluating Endothelin-1 in Intradialytic Hypertension
| Author | Subjects | Intradialytic Hypertension Definition | Intradialytic Hypertension Patients | Controls |
|---|---|---|---|---|
| Van Buren et al.(11) | n=36 | SBP increase >10 mmHg in 4/6 treatments | ET-1 (pg/mL): Pre-HD: 2.1 Post-HD: 2.18 |
ET-1 (pg/mL) Pre-HD: 1.9 Post-HD: 2.05 Between Group Difference in Intradialytic Change: p=0.6 |
| Van Buren et al(19) | n=49 | SBP increase >10 mmHg in 4/6 treatments | ET-1 (pg/mL) Pre-HD: 4.97 Post-HD: 5.98 |
ET-1 (pg/mL) Pre-HD: 5.10 Post-HD: 5.59 Between Group Difference in Intradialytic Change: p=0.4 |
| Gutierrez et al(27) | n=21 | SBP increase during a single HD treatment | ET-1 (pg/mL) Pre-HD: 10.8 pg/mL Post-HD 25.9 pg/mL |
ET-1 (pg/mL) Pre-HD: 11.1pg/mL Post-HD: 13.3 pg/mL Between Group Difference (post–HD): p<0.001 |
| Teng et al(29) | n=34 | SBP increase >10 mmHg averaged over 4 treatments | ET-1 (pg/mL) Pre-HD: 3.92 Post-HD 4.09 NO/ET-1 Ratio Pre HD: 20.32 Post HD: 17.79 |
ET-1 (pg/mL) Pre-HD 3.51 Post-HD 2.75 Difference (post –HD): p=0.03 NO/ET-1 Ratio Pre HD: 27.28 Post HD: 24.78 Difference (post-HD): p=0.04 |
| El-Shafey(7) | n=45 | MAP increase >15 mmHg in a single HD treatment | ET-1 (pg/mL) Pre-HD: 11.93 Post-HD: 16.39 Within group p<0.001 |
Group 1: stable blood pressure ET-1 (pg/mL) Pre-HD: 14.49 Post-HD: 14.33 Within group NS Group 2: blood pressure decrease ET-1 (pg/mL) Pre-HD: 11.75 Post-HD: 8.56 Within group p<0.001 |
| Chou(6) | n=60 | MAP increase >15 mmHg in >8/12 treatments | ET-1 (pg/mL) Pre-HD: 346 Post-HD: 511 Within group p<0.005 Between group: p<0.05 NO/ET-1 Pre-HD: 0.869 Post-HD: 0.018 Within group p<0.005 Betewen group: p<0.05 |
ET-1 (pg/mL) Pre-HD: 287 Post-HD: 276 NO/ET-1 Pre-HD: 0.129 Post-HD: 0.034 Within group p<0.005 |
| Raj(5) | n=27 | MAP increase >15 mmHg at least once a week for 3 months | ET-1 (pg/mL) Pre-HD: 12.8 Post-HD: 16.8 Within group change: p=0.06 |
Group 1: no change in blood pressure ET-1 (pg/mL) Pre-HD:14.3 Post-HD: 14.8 Within group change NS Group 2: blood pressure decrease ET-1 (pg/mL) Pre-HD: 12 Post-HD:7.9 Within group change p<0.05 |
SBP=systolic blood pressure; ET-1=Endothelin-1; HD=Hemodialysis; MAP=Mean Arterial Pressure