Document Detail

Peripheral arterial disease is not associated with an increased prevalence of intradialytic cramps in patients on maintenance hemodialysis.
MedLine Citation:
PMID:  12381949     Owner:  NLM     Status:  MEDLINE    
BACKGROUND/AIMS: Peripheral arterial disease (PAD) has been suggested as a contributing factor to the development of intradialytic muscle cramps in patients on maintenance hemodialysis. METHODS: To test this hypothesis, 122 patients from two dialysis centers were studied. The presence of PAD was determined by measurement of the ankle-brachial index (ABI) in the lower extremities of patients pre- and postdialysis. The experience of intradialytic cramps was assessed using patient history and review of medical records. RESULTS: PAD defined as a predialysis ABI < or =0.90 had an overall prevalence of 16.4% among patients studied. The prevalence of PAD was age-dependent, reaching 37.5% in patients 80-89 years old. Intradialytic muscle cramps were common, with 52.1% of patients reporting cramps within the previous two months, but there was no relationship between cramps during dialysis and PAD (p > 0.05). CONCLUSIONS: PAD was common in hemodialysis patients, but there was no association between the presence of PAD and the prevalence of intradialytic muscle cramps.
Eric P Brass; Sharon Adler; Kathy E Sietsema; Antonino Amato; Anne Esler; William R Hiatt
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of nephrology     Volume:  22     ISSN:  0250-8095     ISO Abbreviation:  Am. J. Nephrol.     Publication Date:    2002 Sep-Dec
Date Detail:
Created Date:  2002-10-16     Completed Date:  2003-03-03     Revised Date:  2007-02-14    
Medline Journal Info:
Nlm Unique ID:  8109361     Medline TA:  Am J Nephrol     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  491-6     Citation Subset:  IM    
Copyright Information:
Copyright 2002 S. Karger AG, Basel
Department of Medicine, Harbor-UCLA Medical Center, Torrance, Calif. 90502, USA.
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MeSH Terms
Age Factors
Aged, 80 and over
Arterial Occlusive Diseases / complications*
Leg / blood supply
Middle Aged
Muscle Cramp / etiology*
Renal Dialysis / adverse effects*

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