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Journal of Research in Medical Sciences، جلد ۱۷، شماره ۱۱، صفحات ۰-۰

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عنوان انگلیسی The effect of allopurinol on lowering blood pressure in hemodialysis patients with hyperuricemia
چکیده انگلیسی مقاله Background: Hyperuricemia has been associated with the development of high blood pressure (BP). We studied the effects of allopurinol therapy in hyperuricemic hemodialysis (HD) patients with high BP. Materials and Methods: This single-blind, randomized cross-over clinical study involved 55 HD patients with serum uric acid level >6.5(men) and >5.5mg/dL(women). They were randomly divided in two groups, each of which went through two phases. Group-1 in phase-1 received 100 mg/day orally of allopurinol for three months; while Group-2 was given whatever medication they received prior to the study. After two months of washing period, the groups were crossed-over. The BP levels were measured before and after HD during the eight months study period. Results: Fifty-three patients completed the study (33 men and 20 women, with mean age of 55.8 years). Uric acid levels decreased significantly during the12 weeks of allopurinol therapy (7.71±1.53 to 5.2±1.2 P < 0.005). Overall, after the 12 weeks of allopurinol therapy, systolic and diastolic BP also significantly decreased in allopurinol group, 15.8% (139 to 117, P < 0.0005) and 8.6% (81 to 74, P <.0005), respectively. There were not significant changes in body mass index, blood urea nitrogen, creatinine, albumin, cholesterol, triglyceride, hemoglobin, liver enzymes and serum electrolytes level after treatment. Patients treated with allopurinol had a significant increase in the quality of dialysis (KT/V) ( P: 0.043). Conclusions: In HD patients, allopurinol treatment reduced BP. The results indicate a new potential therapeutic approach for controlling BP in HD patients.
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نویسندگان مقاله مژگان جلال زاده | mojgan jalalzadeh
internal medicine, military hospital of orumiyeh, orumiyeh, iran


زین العابدین nurcheshmeh | zeinalabedin nurcheshmeh
taleghani hospital of shahid beheshti university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

رامین محمدی | ramin mohammadi
social medicine, zanjan university of medical sciences, zanjan, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی زنجان (Zanjan university of medical sciences)

نورالدین موسوی نسب | nouraddin mousavinasab
vali-e-asr hospital of zanjan university of medical sciences, zanjan, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی زنجان (Zanjan university of medical sciences)

محمد حسن قدیانی | mohammad hassan ghadiani



نشانی اینترنتی http://jrms.mui.ac.ir/index.php/jrms/article/view/8743
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Original Article
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