Hemodialysis - Target Blood Pressure

Guideline Organization

Recommendation (Evidence Level)

Evidence

Comments

CARI-Australia
2003

Pre-HD target levels <140mmHg systolic and <90mmHg diastolic (Level III/IV)

Cardiovascular risk factors
3. Hypertension, LVH

BP control primarily with control of plasma volume Attempts to decrease systolic BP in particular

CSN-Canada

EBPG-Europe

EBPG will endorse K/DOQI Cardiovascular Disease Guidelines (see below)

KDOQI-US
2005

Predialysis blood pressure <140/90
Postdialysis blood pressure <130/80mmHg
Unclear pre-or postdialysis measurement preferred  (Level C)

Guideline 12. Blood Pressure

UK-Guidelines
2002

Pre-HD syst <140 and diast <90
Post-HD syst <130 and diast <80 (Level C)

Cardiovascular risk factors in patients on dialysis
Website P111 of 204 PDF pages.

Post-dialysis BP recorded after completion of dialysis, including washback (Good Practice)