| Current perspectives on diagnosis of heart failure in long-term dialysis patients. | |
| | |
MedLine Citation:
|
PMID: 21056523 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Cardiovascular disease is highly prevalent in patients with chronic kidney failure treated using dialysis. The risk of cardiovascular events is estimated to be at least 2- to 10-fold higher in dialysis patients than in age-, race-, and sex-matched persons with normal kidney function. A significant proportion of cardiovascular events in long-term dialysis patients is caused by heart failure, and the presence of heart failure is predictive of a poor prognosis. Despite the significant morbidity and mortality associated with heart failure, very few therapeutic options are proved to prevent and treat the progression of this complication in dialysis patients. There are several potential reasons for this, chiefly reflecting both challenges with diagnosis due to the coexistence of volume overload and a paucity of adequately powered prospective randomized controlled trials that examine the efficacy of different therapeutic options in dialysis patients with cardiac disease or heart failure. Thus, unlike in the general population, very few advances have been made in managing this severe complication in dialysis patients. In this article, an overview of the prevalence, severity, and risk factors for heart failure in maintenance dialysis patients is provided and the diagnosis of heart failure in these patients is revisited. |
| | |
Authors:
|
Angela Yee-Moon Wang; John E Sanderson |
Related Documents
:
|
17522473 - Referral to nephrologists for chronic kidney disease care: is non-diabetic kidney disea... 12649533 - Total hip arthroplasty in chronic dialysis patients in the united states. 10656943 - A new surgical strategy for cirrhotic patients with hepatocellular carcinoma and hypers... |
Publication Detail:
|
Type: Journal Article; Review Date: 2010-11-05 |
Journal Detail:
|
Title: American journal of kidney diseases : the official journal of the National Kidney Foundation Volume: 57 ISSN: 1523-6838 ISO Abbreviation: Am. J. Kidney Dis. Publication Date: 2011 Feb |
Date Detail:
|
Created Date: 2011-01-21 Completed Date: 2011-03-01 Revised Date: 2011-03-30 |
Medline Journal Info:
|
Nlm Unique ID: 8110075 Medline TA: Am J Kidney Dis Country: United States |
Other Details:
|
Languages: eng Pagination: 308-19 Citation Subset: IM |
Copyright Information:
|
Copyright © 2011 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong. aymwang@hku.hk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Heart Failure
/
diagnosis*,
epidemiology Humans Kidney Failure, Chronic / complications, therapy* Prevalence Renal Dialysis* Risk Factors Severity of Illness Index Time Factors |
| Comments/Corrections | |
Erratum In:
|
Am J Kidney Dis. 2011 Mar;57(3):527 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Nontarget analysis of polar contaminants in freshwater sediments influenced by pharmaceutical indust...
Next Document: An eight year audit before and after the introduction of modified early warning score (MEWS) charts,...