Open AccessHemodialysis-Induced Cardiac Injury
Author(s) -
James O. Burton,
Helen J. Jefferies,
Nicholas M. Selby,
Christopher W. McIntyre
Publication year - 2009
Publication title -
clinical journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.755
H-Index - 151
eISSN - 1555-905X
pISSN - 1555-9041
DOI - 10.2215/cjn.03900808
Subject(s) - medicine , myocardial stunning , cardiology , stunning , hemodialysis , myocardial infarction , troponin complex , subclinical infection , ejection fraction , troponin t , dialysis , troponin , heart failure , cardiac function curve , hazard ratio , ischemia , confidence interval
Hemodialysis (HD)-induced myocardial stunning driven by ischemia is a recognized complication of HD, which can be ameliorated by HD techniques that improve hemodynamics. In nondialysis patients, repeated ischemia leads to chronic reduction in left ventricular (LV) function. HD may initiate and drive the same process. In this study, we examined the prevalence and associations of HD-induced repetitive myocardial injury and long-term effects on LV function and patient outcomes.