| Cardiovascular disease in peritoneal dialysis. | |
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MedLine Citation:
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PMID: 8728157 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cardiovascular morbidity and mortality remain high in ESRD patients. Lipid abnormalities in CAPD may be more important than in hemodialysis. Vessel calcification may have a role in atherosclerotic heart disease, but this is only an inference from several clinical observations, and it remains to be defined more clearly as a risk factor. Left ventricular hypertrophy is frequent in this patient population, and is associated with specific clinical patterns and an increased risk of death. Erythropoietin treatment of anemia and tight blood pressure controls have proved to help in reversing severe left ventricular hypertrophy. Finally, we describe a syndrome of the hypertrophic, high cardiac output hemodialysis heart, which is characterized by a high cardiac output in hemodialysis patients. It is associated with left ventricular hypertrophy and eventually right ventricular hypertrophy with tricuspid insufficiency. This may require fistula revision and even a switch peritoneal dialysis. |
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Authors:
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S Prichard; A Sniderman; K Cianflone; D Marpole |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis Volume: 16 Suppl 1 ISSN: 0896-8608 ISO Abbreviation: Perit Dial Int Publication Date: 1996 |
Date Detail:
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Created Date: 1996-10-16 Completed Date: 1996-10-16 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8904033 Medline TA: Perit Dial Int Country: CANADA |
Other Details:
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Languages: eng Pagination: S19-22 Citation Subset: IM |
Affiliation:
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Department of Medicine, Royal Victoria Hospital, McGill University, Montreal, Quebec, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cardiovascular Diseases
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blood,
etiology*,
mortality Cause of Death Coronary Disease / blood, etiology, mortality Hemodynamics / physiology Humans Hypertrophy, Left Ventricular / blood, etiology, mortality Hypertrophy, Right Ventricular / blood, etiology, mortality Kidney Failure, Chronic / blood, mortality, therapy* Lipids / blood Peritoneal Dialysis* / mortality Peritoneal Dialysis, Continuous Ambulatory* / mortality Tricuspid Valve Insufficiency / blood, etiology, mortality |
| Chemical | |
Reg. No./Substance:
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0/Lipids |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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