Document Detail


Newer paradigms in renal replacement therapy: will they alter cardiovascular outcomes?
MedLine Citation:
PMID:  16084286     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiovascular disease remains the leading cause of morbidity and mortality for patients with end-stage renal disease. Conventional hemodialysis has had limited impact on cardiovascular risk factors and mortality. Increasing evidence suggests that nocturnal home hemodialysis has beneficial effects on cardiovascular parameter outcomes. This article reviews the documented effects of nocturnal home hemodialysis on blood pressure control, cardiac geometry and left ventricular systolic function, lipid profiles, calcium-phosphate metabolism, parathyroid hormone levels, homocysteine levels, sleep apnea, and autonomic modulation of heart rate. It discusses possible mechanisms to explain these observed changes.
Authors:
Kiran Kundhal; Andreas Pierratos; Christopher T Chan
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Cardiology clinics     Volume:  23     ISSN:  0733-8651     ISO Abbreviation:  Cardiol Clin     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-08-08     Completed Date:  2006-01-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8300331     Medline TA:  Cardiol Clin     Country:  United States    
Other Details:
Languages:  eng     Pagination:  385-91     Citation Subset:  IM    
Affiliation:
Division of Nephrology, Department of Medicine, Toronto General Hospital-University Health Network, 12 Eaton North, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada.
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MeSH Terms
Descriptor/Qualifier:
Anoxia / etiology,  physiopathology,  prevention & control
Cardiovascular Diseases / etiology,  physiopathology,  prevention & control
Humans
Hyperhomocysteinemia / etiology,  physiopathology,  prevention & control
Hyperlipidemias / etiology,  physiopathology,  prevention & control
Hyperparathyroidism, Secondary / etiology,  physiopathology,  prevention & control
Kidney Failure, Chronic / complications,  physiopathology,  therapy*
Renal Dialysis*
Sleep Apnea Syndromes / etiology,  physiopathology,  prevention & control
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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