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Cardiac evaluation of haemodialysis‐related hypotension using dobutamine stress echocardiography
Author(s) -
Poldermans Don,
Meiracker Anton H Van Den,
Bax Jeroen J,
Zietse Robert
Publication year - 2001
Publication title -
nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.752
H-Index - 61
eISSN - 1440-1797
pISSN - 1320-5358
DOI - 10.1046/j.1440-1797.2001.00048.x
Subject(s) - medicine , dobutamine , cardiology , myocardial ischaemia , dialysis , ischemia , stress echocardiography , anesthesia , hemodynamics , coronary artery disease
SUMMARY: Haemodialysis‐related hypotension occurs in approximately 30% of patients. Myocardial ischaemia and/or insufficient contractile reserve in response to sympathetic stress may be involved in the pathogenesis of hypotension during dialysis. Using dobutamine stress echocardiography, left ventricular function at rest, myocardial contractile reserve and the presence and extent of ischaemia can be assessed in a non‐invasive way. This short review will focus on the potential value of dobutamine stress echocardiography for the evaluation of hypotension‐prone haemodialysis patients.