| Beneficial effects of nocturnal hemodialysis in a hemodynamically unstable patient with AL-amyloidosis. | |
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MedLine Citation:
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PMID: 22712540 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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We present a patient with primary systemic AL-amyloidosis, who stabilized hemodynamically on nocturnal hemodialysis (NHD). The NHD allowed a significant reduction in ultrafiltration rates which likely underlies the procedural tolerability. It also provided an increase in urea clearance, better control of serum phosphorus levels without the use of any binders, and normalization of blood pressure despite the discontinuation of all antihypertensive agents. Given the autonomic derangements associated with AL-amyloidosis pathophysiology and the clinical benefits of NHD on hemodynamic stability, the use of intensive hemodialysis may be considered for the management of patients with unstable hemodynamic profiles. |
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Authors:
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Konstantina Trigka; Periklis Dousdampanis; Christopher T Chan |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-6-20 |
Journal Detail:
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Title: Hemodialysis international. International Symposium on Home Hemodialysis Volume: - ISSN: 1542-4758 ISO Abbreviation: - Publication Date: 2012 Jun |
Date Detail:
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Created Date: 2012-6-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101093910 Medline TA: Hemodial Int Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2012 The Authors. Hemodialysis International © 2012 International Society for Hemodialysis. |
Affiliation:
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Department of Medicine, Division of Nephrology, University Health Network, Toronto, Ontario, Canada. |
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Descriptor/Qualifier:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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