Myocardial stunning in hemodialysis: What is the overall message?

被引：29

作者：

Dorairajan, Smrita ^{[1
,2
]}

Chockalingam, Anand ^{[2
,3
]}

Misra, Madhukar ^{[1
]}

机构：

[1] Univ Missouri, Sch Med, Dept Internal Med, Div Nephrol, Columbia, MO 65212 USA

[2] Harry S Truman Mem Vet Hosp, Columbia, MO 65201 USA

[3] Univ Missouri, Sch Med, Dept Internal Med, Div Cardiovasc Med, Columbia, MO 65212 USA

来源：

HEMODIALYSIS INTERNATIONAL | 2010年 / 14卷 / 04期

关键词：

myocardium; stunning; hemodialysis; intradialytic; hypotension; OUTFLOW TRACT OBSTRUCTION; CARDIOVASCULAR RISK; DISEASE;

D O I：

10.1111/j.1542-4758.2010.00495.x

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：

Heart failure and cardiovascular events are common in chronic renal failure. Hemodialysis (HD) causes significant hemodynamic changes and hypotension. New evidence based on intradialytic echocardiography demonstrates transient cardiac dysfunction or stunning in majority of chronic HD patients. Over time, this group may progress to chronic heart failure and appears to predict higher cardiovascular events and mortality. Although the exact etiology is unclear, alterations in HD technique and cardiac medications may reduce this complication. We review the current understanding of acute cardiac stunning during HD and present a systematic management algorithm to optimizing overall outcomes in this high-risk population.

引用

页码：447 / 450

页数：4

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