کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3897235 1250247 2012 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
High-Output Heart Failure: How to Define It, When to Treat It, and How to Treat It
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های کلیوی
پیش نمایش صفحه اول مقاله
High-Output Heart Failure: How to Define It, When to Treat It, and How to Treat It
چکیده انگلیسی
Although hemodialysis patients who initiate and maintain a permanent form of dialysis vascular access have improved all-cause and cardiovascular survival compared with those who use catheters, the presence of an arteriovenous fistula has been shown to have a short-term, adverse effect on cardiac function. Through its effect as a left-to-right extracardiac shunt, the arteriovenous fistula can increase cardiac workload substantially, and, in certain patients, result in a high-output state and resultant heart failure over time. Here we review the mechanisms by which dialysis arteriovenous access may promote the development of high-output cardiac failure in end-stage renal disease patients, describe risk factors for and the diagnosis of high-output heart failure, and suggest management strategies for patients who develop high-output heart failure.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Seminars in Nephrology - Volume 32, Issue 6, November 2012, Pages 551-557
نویسندگان
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