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Sodium Bicarbonate in Intra-dialytic Hypertension in Chronic Hemodialysis Patients

Not Applicable
Not yet recruiting
Conditions
Hypertension in Dialysis Patients
Interventions
Drug: Sodium Bicarbonate (NaHCO3)
Drug: Placebo
Registration Number
NCT07231900
Lead Sponsor
Assaf-Harofeh Medical Center
Brief Summary

The study is designed to diminish intra-dialytic hypertension in chrnic hemodialysis patients suffering from metabolic acidosis (low bicarbonate levels). The intervention is a tab of 500 mg sodium bicarbonate twice a day for one month, vs. placebo.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Chronic hemodialysis patient > 3 months
  • 3 dialysis per week, KTV>1.2
  • capable of informed concent.
  • rise in blood pressure during hemodialysis > 10 mm Hg, for at least 50% of dialysis sessions in the month prior to inclusion.
  • Normal volume status, by clinical physician assessment + bioimpedance
Exclusion Criteria
  • age under 18,
  • pregnancy
  • unable to sign informed concent
  • planned for kidney transplant in the following 3 month.
  • congestive heart failure (NYHA 3-4)
  • hospitalization for acute MI or CHF in the past 3 months.
  • low compliece to medical therapy
  • regular pre-dialysis tests with bicarbonate > 24 in the past 3 months

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Sodium bicarbonateSodium Bicarbonate (NaHCO3)PO Sodium bicarbonate 500mg X2/day
PlaceboPlacebo1 tab X2/day
Primary Outcome Measures
NameTimeMethod
Blood pressure1 month

Prevention of intra dialytic hypertension

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Shamir medical center

🇮🇱

Ẕerifin, Is, Israel

Shamir medical center
🇮🇱Ẕerifin, Is, Israel

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