Continuous Monitoring of Advanced Hemodynamic Parameters during Hemodialysis Demonstrated Early Variations in Patients Experiencing Intradialytic Hypotension.

Yotam Kolben¹, Ittamar Gork², David Peled³, Shani Amitay¹, Peleg Moshel¹, Nir Goldstein⁴, Arik Ben Ishay⁴, Meir Fons⁴, Michael Tabi⁴, Arik Eisenkraft^4,5, Yftach Gepner³, Dean Nachman^1,5

¹Heart Institute, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9112001, Israel.

²Department of Nephrology and Hypertension, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9112001, Israel.

³Department of Health Promotion, School of Public Health, Faculty of Medicine and Health, Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv 6997801, Israel.

⁴Biobeat Technologies Ltd., Petah Tikva 4937213, Israel.

⁵Institute for Research in Military Medicine, Faculty of Medicine, The Hebrew University of Jerusalem and the Israel Defense Force Medical Corps, Jerusalem 9112102, Israel.

PubMed PMC DOI PDF

Abstract

Intradialytic hypotension (IDH) is a severe complication of hemodialysis (HD) with a significant impact on morbidity and mortality. In this study, we used a wearable device for the continuous monitoring of hemodynamic vitals to detect hemodynamic changes during HD and attempted to identify IDH. End-stage kidney disease patients were continuously monitored 15 min before starting the session and unt…

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