Abstract
We report on a 21-year-old pregnant patient with IgA nephropathy who was initiated on intensive hemodialysis (8 hours of hemodialysis 3 times a gestational age of 26 weeks on the basis of worsening kidney function in rapidly progressive fatigue and difficulties in metabolic control. the pregnancy, and while on intensive hemodialysis, 24-hour ambulatory pressure control was within the target, and results of weekly 24-hour of central hemodynamics and pulse wave velocity, and of serial levels of circulating (anti-)angiogenic factors were comparable to normal Estimated fetal growth evolved along the 50th percentile, and no was detected. After induction for a sudden, unexplained increase in pressure, she delivered a healthy boy of 2480 g at a gestational age of This case adds to the expanding literature that supports the use of hemodialysis in pregnant patients with end-stage renal disease and for the first time, the potential use of serial (anti-) angiogenic 24-hour measurements of blood pressure and hemodynamic indices in order facilitate monitoring of these complicated patients.
Original language | English |
---|---|
Pages (from-to) | 639-643 |
Journal | Hemodialysis international |
Volume | 17 |
Issue number | 4 |
DOIs | |
Publication status | Published - 1 Jan 2013 |