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Diastolic Dysfunction, an Underestimated New Challenge in Dialysis
Author(s) -
Escoli Rachele,
Carvalho Maria J,
Cabrita António,
Rodrigues Anabela
Publication year - 2019
Publication title -
therapeutic apheresis and dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.415
H-Index - 53
eISSN - 1744-9987
pISSN - 1744-9979
DOI - 10.1111/1744-9987.12756
Subject(s) - medicine , heart failure with preserved ejection fraction , dialysis , intensive care medicine , heart failure , cardiology , ejection fraction , population , diastole , critical appraisal , clinical practice , blood pressure , physical therapy , alternative medicine , pathology , environmental health
Heart failure (HF) is very common in the general population and specifically in CKD patients due to higher prevalence of traditional and CKD‐related risk factors. In particular, HF with preserved ejection fraction (HFpEF) can affect over 50% of dialysis patients. However, little is known about this entity in CKD. It has been inadequately recognized over time and few data exist regarding clinical profiles and outcomes in dialysis patients. The aim of this paper is to do a critical appraisal of the diagnosis, clinical impact, and management of HFpEF with a focus on new diagnostic criteria and its impact on dialysis.