Cardiac complications of arteriovenous fistulas in patients with end-stage renal disease

被引:66
作者
Alkhouli, Mohamad [1 ]
Sandhu, Paul [2 ]
Boobes, Khlaed [3 ]
Hatahet, Kamel [4 ]
Raza, Farhan [5 ]
Boobes, You Sef [6 ]
机构
[1] Univ Rochester, Rochester, NY 14627 USA
[2] Boston Univ, Dept Internal Med, Boston, MA 02215 USA
[3] Northwestern Univ, Dept Nephrol, Chicago, IL 60611 USA
[4] Temple Univ Hosp & Med Sch, Dept Nephrol, Philadelphia, PA 19140 USA
[5] Temple Univ Hosp & Med Sch, Dept Cardiol, Philadelphia, PA 19140 USA
[6] Twam Hosp, Abu Dhabi, U Arab Emirates
来源
NEFROLOGIA | 2015年 / 35卷 / 03期
关键词
Hemodialysis vascular access; Cardiovascular; Fistula; Kidney transplantation; LEFT-VENTRICULAR HYPERTROPHY; CONGESTIVE-HEART-FAILURE; CHRONIC KIDNEY-DISEASE; PULMONARY-ARTERY PRESSURE; HEMODIALYSIS-PATIENTS; ENDOTHELIAL DYSFUNCTION; CARDIOVASCULAR-DISEASE; TRANSPLANT RECIPIENTS; DIALYSIS PATIENTS; VASCULAR ACCESS;
D O I
10.1016/j.nefro.2015.03.001
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Cardiovascular disease is the leading cause of the death in dialysis patients. Arteriovenous fistulas (AVFs) are associated with lower mortality and are viewed as the desired access option in most patients with advanced kidney disease needing dialysis. However, AVFs have significant and potentially deleterious effects on cardiac functions particularly in the setting of preexisting heart disease. This article provides a comprehensive and contemporary review to what is known about the impact of AVFs on: congestive heart failure, left ventricular hypertrophy, pulmonary hypertension, right ventricular dysfunction, coronary artery disease and valvular heart disease. (C) 2015 The Authors. Published by Elsevier Espana, S.L.U. on behalf of Sociedad Espanola de Nefrologia.
引用
收藏
页码:234 / 245
页数:12
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