Patient's question:
What are the reasons for high blood pressure in uremia? Is uremia the cause or is it high blood pressure? I hope you can tell me.Doctor's answer:
Hemodialysis and hypertension form a vicious cycle. If hemodialysis is not well-controlled, it can exacerbate the increase in blood pressure. Similarly, if blood pressure is not well-controlled, it can further worsen the symptoms of hemodialysis. In the later stages of hemodialysis, most patients experience further increases in blood pressure due to water and sodium retention, elevated renin-angiotensin levels, and insufficient production of certain vasodilating factors. Hypertension can lead to arteriosclerosis, left ventricular hypertrophy, heart failure, and other complications.