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    How to Manage Hypertension in End-stage Renal Disease

    Since dialysis patients are cared for mainly by nephrologists, does that mean that our non-nephrology colleauges have no place in the blood pressure management of these patients? The following questions and answers point to important roles for physicians outside nephrology and suggest tools to help diagnose and treat hypertension in end-stage renal disease.

    1. Which of the following statements are true?

    A. The most important blood pressure readings in dialysis patients are either outside the dialysis unit or by ambulatory blood pressure monitoring (ABPM).

    B. Forty-four hour ABPM (the consecutive time in the middle of the week in between dialysis treatments) is the gold standard for blood pressure readings in dialysis patients.

    Answer, discussion, and next question>>

    Gregory W. Rutecki, MD
    Dr Rutecki is with the Cleveland Clinic National Consultation Service.

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