[Benefits of every other day dialysis (EODD) without rest for 72 hours in patients with symptomatic cardiovascular disease]. / Beneficios de la hemodiálisis en días alternos sin descanso de 72 horas (EODD: every other day dialysis) en pacientes con enfermedad cardiovascular sintomática.

With the purpose to improve the clinical situation of nine hemodialysis patients who suffer from severe cardiovascular disease and are highly symptomatic after weekends without dialysis because of fluid overload, their dialysis schedule was changed from 5 hours in 3 sessions per week to 4 hours every other day sessions (EODD), avoiding 72 hours of interdialitic weekend period. In each patient, during 38 sessions previous to starting the EODD (stage 1: 3 months) and the 38 sessions in EODD, which followed the first month of this dialysis regime (stage 2), the frequency of the next incidences was registered (ratio in 348 sessions, in every stage, of this patients group): presence of dysnea and/or hypertension pre dialysis session, pre or intra dialysis angor, emergency sessions with hypotension and sessions without achieving predetermined dry-weight. During the EODD stage, sessions, with dysena, hypertension and pre or intra dialysis angor were reduced in 80% (p < 0.001); the incidence of sessions with hypotensive episode or sessions without achieving dry-weight decreased in a third. All patients experimented a considerable improvement in their clinical situation. In addition, the whole group reduced dry-weight and later regained it without presenting symptoms which had motivated EODD schedule. EODD schedule improves the clinical situation in patients with cardiopathy who would not do so when following previous schedule (which includes 48 hours without dialysis).

Beneficios de la hemodiálisis en días alternos sin descanso de 72 horas (EODD: Every other day dialysis) en pacientes con enfermedad cardiovascular sintomática / Benefits of every other day dialysis (eodd) on dialysis patients with symptomatic cardiovascular disease

Con el objetivo de mejorar la situación clínica de un grupo de nueve pacientes enhemodiálisis con patología cardiovascular severa, que mantenía síntomas causadospor expansión de volumen con mala tolerancia al fin de semana sin diálisis, cambiamosla pauta de tres sesiones semanales de 5 horas con descanso de fin de semanapor el régimen de hemodiálisis en días alternos con sesiones de 4 horas sin descansode 72 horas en el fin de semana.En cada paciente, durante las 38 sesiones del esquema primitivo previas al inicio dela diálisis alterna (fase 1: 3 meses) y en las 38 sesiones del esquema alterno (fase 2)que siguieron al primer mes de su inicio se registraron las frecuencias por sesión de lasincidencias siguientes: presencia de disnea y/o hipertensión arterial antes de la sesión,angor pre o intradiálisis, sesiones urgentes no programadas, sesiones con hipotensióny sesiones sin lograr el peso seco.Los resultados se expresan en porcentaje de incidencias en 348 sesiones del grupode pacientes en cada fase de los dos esquemas de diálisis.En la fase de hemodiálisis en días alternos las sesiones del grupo con disnea, hipertensióno angor se redujo en un 80% (p < 0,001); las sesiones con al menos una hipotensióny aquellas en las que no se alcanzó el peso seco disminuyeron en un tercio.Todos los pacientes experimentaron una mejoría clínica importante y bajaron elpeso seco para recuperarlo posteriormente sin reaparición de los síntomas que motivaronel cambio de esquema.La hemodiálisis en días alternos es un sistema que mejora la clínica de los pacientescon patología cardiovascular respecto al esquema de 5 horas en 3 sesiones semanalescon dos días sin diálisis

With the purpose to improve the clinical situation of nine hemodialysis patients whosuffer from severe cardiovascular disease and are highly symptomatic after weekendswithout dialysis because of fluid overload, their dialysis schedule was changed from5 hours in 3 sessions per week to 4 hours every other day sessions (EODD), avoiding72 hours of interdialitic weekend period.In each patient, during 38 sessions previous to starting the EODD (stage 1: 3months) and the 38 sessions in EODD, which followed the first month of this dialysisregime (stage 2), the frequency of the next incidences was registered (ratio in 348 sessions,in every stage, of this patients group): presence of dysnea and/or hypertensionpre dialysis session, pre or intra dialysis angor, emergency sessions with hypotensionand sessions without achieving predetermined dry-weight.During the EODD stage, sessions, with dysena, hypertension and pre or intra dialysisangor were reduced in 80% (p < 0.001); the incidence of sessions with hypotensiveepisode or sessions without achieving dry-weight decreased in a third.All patients experimented a considerable improvement in their clinical situation. Inaddition, the whole group reduced dry-weight and later regained it without presentingsymptoms which had motivated EODD schedule.EODD schedule improves the clinical situation in patients with cardiopathy whowould not do so when following previous schedule (which includes 48 hours withoutdialysis)