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Midodrine-Induced Vascular Ischemia in a Hemodialysis Patient: A Case Report and Literature Review
Authors:Sofia Rubinstein  Moshe Haimov  Michael J. Ross
Affiliation:1. Nassau University Medical Center, Division of Nephrology and Hypertension, East Meadow, New York, USAsrubinst@numc.edu;3. Department of Surgery, Mount Sinai School of Medicine, New York, New York, USA;4. Division of Nephrology, Mount Sinai School of Medicine, New York, New York, USA
Abstract:Midodrine is an alpha-agonist that causes peripheral vasoconstriction, resulting in increased blood pressure. It has been reported to be safe and effective in patients with end stage renal disease (ESRD) and is widely used for hemodialysis-associated hypotension. We report a case report of midodrine-induced ischemia in a patient on hemodialysis and review the literature relating to the safety of midodrine in patients with end stage renal disease.
Keywords:hemodialysis-associated hypotension  midodrine  vascular ischemia
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