Reasons for Hypertension in Hemodialysis patients

Extracellular volume excess/volume overload

Derangements of renin-angiotensin system

Sympathetic overactivity

Impaired endothelium-dependant vasodilatation

Uremic toxins (ADMA, homocysteine)

Genetic factors

Geographic factors influence of climate

Correction of renal anemia by rHuEPO

Secondary hyperparathyroidism

Sodium intake/dialysate sodium concentration

Hemodialysis regimen