Interface Between Renal Disease and Cardiovascular Illness

McCullough, Peter A.

doi:10.1016/b978-1-4377-0398-6.00093-7

Cited by 7 publications

(10 citation statements)

References 86 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although closure or flow reduction of AVF has been known to improve highoutput status [1][2][3][4], few data exist regarding the impact of these procedures on systemic hemodynamics. We report here a case of high-output heart failure due to a high-flow AVF who was successfully treated by the inflow reduction procedure.…”

Section: Introductionmentioning

confidence: 98%

See 1 more Smart Citation

Impact of inflow reduction of arteriovenous fistula on systemic hemodynamics in a patient with high-output heart failure during hemodialysis: A case report

Araki

Katano

et al. 2010

Journal of Cardiology Cases

View full text Add to dashboard Cite

A 68-year-old woman was admitted with dyspnea. The patient had been treated with hemodialysis for renal failure for 11 years. On admission, chest X-ray showed pulmonary edema. Right-heart catheterization revealed high cardiac output (11.8 l/min) and elevated pulmonary capillary wedge pressure (PCWP). Doppler ultrasonography showed high-flow of an arteriovenous fistula (AVF) for hemodialysis. The patient was diagnosed as having high-output heart failure due to a high-flow AVF. Inflow reduction of the AVF was performed by proximal radial artery ligation. Right-heart catheterization performed 2 weeks after the operation revealed that cardiac output had decreased from 11.8 to 9.5 l/min and PCWP was also reduced from 21 to 9 mmHg. Furthermore, flow of the AVF measured by Doppler ultrasonography was also decreased. To our knowledge, this is the first report that assessed hemodynamics of high-output heart failure before and after inflow reduction of the AVF by repeated right-heart catheterization.

show abstract

Section: Introductionmentioning

confidence: 98%

“…High-output heart failure is a rare complication of arteriovenous fistulas (AVF) for hemodialysis [1][2][3][4][5]. Although closure or flow reduction of AVF has been known to improve highoutput status [1][2][3][4], few data exist regarding the impact of these procedures on systemic hemodynamics.…”

Section: Introductionmentioning

confidence: 99%

Impact of inflow reduction of arteriovenous fistula on systemic hemodynamics in a patient with high-output heart failure during hemodialysis: A case report

Araki

Katano

et al. 2010

Journal of Cardiology Cases

View full text Add to dashboard Cite

show abstract

“…Uraemia, hyperkalemia, acidosis and disorders of calciumphosphate balance have been associated with higher rates of supraventricular and ventricular arrhythmias. Due to presence of conditions like left ventricular hypertrophy, left ventricular dilation, heart failure and valvular diseases, higher rates of almost all arrhythmias are seen in Chronic Kidney Disease, including bradyarrythmias and heart block 12 .…”

Section: Arrhythmiasmentioning

confidence: 99%

“…There is a 10-200 fold increased risk of cardiovascular disease in those with Chronic Kidney Disease compared to the age and sex matched with general population, depending on the stage of Chronic Kidney Disease. Between 30-45% patients of Chronic Kidney Disease reaching stage 5 Chronic Kidney Disease already have advanced cardiovascular complications, so many patients succumb to cardiovascular disease before ever reaching stage 5 Chronic Kidney Disease 12 .…”

Section: Effect Of Chronic Kidney Disease On Cardiovascular Systemmentioning

confidence: 99%

Cardiac status in patients of chronic kidney disease: an assessment by non-invasive tools

Singal

Gupta

et al. 2016

Bangladesh J Med Sci

View full text Add to dashboard Cite

Background: Chronic Renal Insufficiency is a major public health problem. Cardiovascular Disease is the leading cause of morbidity and mortality in patients at every stage of Chronic Kidney Disease. There is a 10-200 fold increased risk of cardiovascular disease in those with Chronic Kidney Disease compared to the age and sex matched with general population, depending on the stage of Chronic Kidney Disease. Objective: The objective of the study was to see correlation, if any, of cardiac status and stage of kidney disease. Materials and methods: The study was conducted at M. M. Institute of Medical Sciences and Research, Mullana, Ambala. Thirty patients of Chronic Kidney Disease were included in the study. Chronic Kidney Disease is defined as kidney damage lasting for more than 3 months characterised by structural or functional abnormalities of the kidney, with or without decreased Glomerular Filtration Rate (GFR), according to the K/DOQI Guidelines. Inclusion criteria were based on symptomatology and clinical history of features suggestive of Chronic Kidney Disease. Symptoms, Signs and history of the patients were used to filter out patients who did not fit in the criteria and selected patients on the basis of criteria were further evaluated and investigated. All patients were subjected to detailed history and clinical examination. Patients with age <20 years, with history of Diabetes Mellitus, Dyslipidemia, Intrinsic Diseases of Ventricles, Congenital Heart Disease and chronic smokers were excluded from the study. A standard 12 lead ECG was done in all cases. Echocardiography was done in ECHO lab of Cardiology unit in MMIMSR. Echocardiographic assessment was done by using Model vivid Colour Doppler Echocardiography machine of GE make. Apical four chamber view was employed to obtain the measurements of Left ventricular volume in diastole and systole, Ejection fraction; Left Ventricular Indices were assessed and then were used to calculate Left Ventricular Mass by using the cube formula proposed by Devereux. Patients included in the study were treated as per the standard treatment schedule. The data obtained was analysed with appropriate statistical analysis tools at the end of the study and conclusive evidence was derived. Results: In the present study the mean Left Ventricular Mass was 249.76 ± 69.35 gms with 73% study cases having Left Ventricular Mass more than the reference range, also Left Ventricular Mass showed a progressive rise with increase in S. Creatinine levels. In the present study, Left Ventricular dysfunction was seen in nearly half of the cases while approximately one-fourth cases (23%) also had Systolic Dysfunction. Pericardial Effusion was also observed in 10 % the study cases in the present study.Conclusion: Cardiac functions particularly Left Ventricular parameters. Left Ventricular free wall thickness and Left Ventricular Mass being common abnormality in CKD patients.Bangladesh Journal of Medical Science Vol.15(2) 2016 p.207-215

show abstract

“…The net effect of Renin-Angiotensin-Aldosterone System (RAAS) activation is increased systemic blood pressure via both vasoconstriction and extracellular fluid expansion. Inhibition of the renin-angiotensinaldosterone system results in blood pressure lowering in hypertensive patients and survival benefit in HF [25].…”

Section: Pressure Overloadmentioning

confidence: 99%

Type 4 Cardiorenal Syndrome: Myocardial Dysfunction, Fibrosis, and Heart Failure in Patients with Chronic Kidney Disease

Narala¹

2012

J Clinic Experiment Cardiol

View full text Add to dashboard Cite

show abstract

Interface Between Renal Disease and Cardiovascular Illness

Cited by 7 publications

References 86 publications

Impact of inflow reduction of arteriovenous fistula on systemic hemodynamics in a patient with high-output heart failure during hemodialysis: A case report

Impact of inflow reduction of arteriovenous fistula on systemic hemodynamics in a patient with high-output heart failure during hemodialysis: A case report

Cardiac status in patients of chronic kidney disease: an assessment by non-invasive tools

Type 4 Cardiorenal Syndrome: Myocardial Dysfunction, Fibrosis, and Heart Failure in Patients with Chronic Kidney Disease

Contact Info

Product

Resources

About