The Importance of Blood Pressure Control in End-Stage Renal Disease: A Case Report of Intracranial Hemorrhage
DOI:
https://doi.org/10.11594/nstp.2024.4407Keywords:
Blood pressure control, long-standing hypertension, end-stage renal disease, intracranial hemorrhageAbstract
Introduction: End-Stage Renal Disease (ESRD) is a growing global health concern. ESRD often presents with high blood pressure that is unresponsive to medication. Long-standing high blood pressure is the primary cause of intracranial hemorrhage. It is more likely to occur in ESRD patients. Case Illustration: A 69-year-old woman was brought to the emergency room because of unconsciousness four hours earlier. She had a sudden severe headache before that. No history of trauma. Her consciousness was poor (GCS E1M2V1) and her blood pressure was high (213/78 mmHg) in the emergency unit. Head CT revealed intracerebral, intraventricular, and subarachnoid hemorrhages with a total volume of 81 cc and midline shift. The patient had been on dialysis twice a week for six years. She had uncontrolled hypertension said to routinely take antihypertensive drugs independently. Last year's dialysis visits showed high blood pressure, with a mean of 187/72 mmHg (224/112-166/51 mmHg). Given her complex condition, she underwent conservative therapy and died on the third day of treatment. Conclusion: ESRD patients are at high risk of intracranial hemorrhage. It is crucial to closely monitor blood pressure during dialysis visits. ESRD with intracranial hemorrhage has a poor prognosis, emphasizing the importance of preventive care.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Hamid Faqih Umam, Nova Nasikhatussoraya, Shofa Chasani, Durrotul Djannah
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this proceedings agree to the following terms:
Authors retain copyright and grant the Nusantara Science and Technology Proceedings right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this proceeding.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the proceedings published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this proceeding.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See the Effect of Open Access).
