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Clinical aspects of cardiomyopathy in dialysis patients.
- Source :
-
Blood purification [Blood Purif] 1994; Vol. 12 (4-5), pp. 267-76. - Publication Year :
- 1994
-
Abstract
- The burden of cardiac disease in dialysis patients is high. Congestive heart failure, ischemic heart disease, left ventricular hypertrophy, and systolic dysfunction occur frequently and are associated with an adverse prognosis. In addition, during dialysis therapy anemia, hypoalbuminemia, low blood pressure, and lower serum creatinine levels are adverse predictors of mortality. Risk factors for systolic dysfunction include older age, ischemic heart disease, hyperparathyroidism, and smoking. Risk factors for left ventricular hypertrophy include older age, hypertension, anemia, and diabetes mellitus. Interventions with potential for improving cardiomyopathy include normalization of hematocrit with erythropoietin, improved uremia therapy, and angiotensin-converting enzyme inhibitors. Trials to determine the most appropriate interventions to reduce the impact of cardiac disease in chronic uremia are urgently required.
- Subjects :
- Age Factors
Aged
Anemia epidemiology
Angiotensin-Converting Enzyme Inhibitors therapeutic use
Canada epidemiology
Cardiomyopathies diagnosis
Cardiomyopathies epidemiology
Cardiomyopathies physiopathology
Cohort Studies
Comorbidity
Diabetes Mellitus epidemiology
Echocardiography
Erythropoietin therapeutic use
Female
Hematocrit
Humans
Hyperlipidemias epidemiology
Hyperparathyroidism epidemiology
Hypertension drug therapy
Hypertension epidemiology
Hypertension etiology
Kidney Failure, Chronic physiopathology
Kidney Failure, Chronic therapy
Male
Middle Aged
Prevalence
Prognosis
Proportional Hazards Models
Prospective Studies
Risk Factors
Smoking epidemiology
Survival Analysis
Systole
Cardiomyopathies etiology
Kidney Failure, Chronic complications
Renal Dialysis adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 0253-5068
- Volume :
- 12
- Issue :
- 4-5
- Database :
- MEDLINE
- Journal :
- Blood purification
- Publication Type :
- Academic Journal
- Accession number :
- 7865186
- Full Text :
- https://doi.org/10.1159/000170173