@mastersthesis{10336/1313, author = {Zuñiga Rodriguez, Eduardo Alfonso}, author = {Ruiz Pla, Fabián Alberto}, year = {2009}, month = {8}, url = {http://repository.urosario.edu.co/handle/10336/1313}, abstract = {Introduction. Solutions of hemodialysis (HD) have a standard concentration of sodium (Na) 139 mEq / L which does not lose sodium by diffusion even led to positive Na perpetuating the feeling of thirst, hypertension, ventricular hypertrophy and high weight gain interdialytic time. Objetive. Identify the cardiovascular effects with the use of HD solutions with Na concentrations of 132 mEq / L in patients with chronic renal failure (CRF) from the renal unit RTS cardioinfantil between August 2008 and January 2009. Methods. We performed a randomized controlled, double blind, initially a washout phase of the concentrations of sodium and 2 weeks after randomization in blocks in two groups, with intervention in 8 weeks. Results. We evaluated 82 patients of whom 64 were admitted to the intervention, distributed to the intervention group and 31 to 33 control group patients. There was an increase in pulse pressure in the intervention group and decreased sensation of thirst and weight gain interdialytic time. Echocardiographic findings showed decreased diameter of the inferior vena cava in both groups and decreased left ventricular end diatolic volume. Most adverse events were presented in the intervention group. Discussion. The results differ from the literature as having a greater number of diabetics in the control group and by time. No conclusions can be drawn with regard to the increase in pulse pressure or the decrease of the diameter of the inferior vena cava in HD. Conclusion. The HD solution with sodium concentration of 132 mEq / L does not decrease blood pressure, or the consumption of antihypertensive drugs, however decreases the sensation of thirst and weight gain interdialytic time. Keyword. Hiponatric dialysis, inferior vena cava diameter, blood pressure.}, keywords = {Hemodialisis}, keywords = {Sodio}, title = {Efectos cardiovasculares de concentraciones bajas de sodio en la solución de hemodiálisis en pacientes con insuficiencia renal cronica}, publisher = {Universidad del Rosario}, keywords = {Hemodialysis}, keywords = {Sodium}, doi = {https://doi.org/10.48713/10336_1313 }, }