collection
https://read.qxmd.com/read/31851975/intradialytic-hypotension-mechanisms-and-outcome
#1
REVIEW
Benedict Sars, Frank M van der Sande, Jeroen P Kooman
Intradialytic hypotension (IDH) occurs in approximately 10-12% of treatments. Whereas several definitions for IDH are available, a nadir systolic blood pressure carries the strongest relation with outcome. Whereas the relation between IDH may partly be based on patient characteristics, it is likely that also impaired organ perfusion leading to permanent damage, plays a role in this relationship. The pathogenesis of IDH is multifactorial and is based on a combination of a decline in blood volume (BV) and impaired vascular resistance at a background of a reduced cardiovascular reserve...
2020: Blood Purification
https://read.qxmd.com/read/31830923/cerebrovascular-events-in-hemodialysis-patients-a-retrospective-observational-study
#2
JOURNAL ARTICLE
Ruya Ozelsancak, Hasan Micozkadioglu, Dilek Torun, Nihan Tekkarismaz
BACKGROUND: This study reports findings in subjects who underwent brain imaging for any reason, and examined factors influencing cerebrovascular events (CVEs) in hemodialysis (HD) patients. METHODS: We reviewed the files of patients on HD between January 2015 and January 2018. A total of 432 patients who underwent HD for at least 5 months by the January 2015 and who were older than 18 years were included in the study; 264 had been examined by cerebral computed tomography or magnetic resonance imaging examination within the 3 years...
December 12, 2019: BMC Nephrology
https://read.qxmd.com/read/31694560/non-adherence-to-haemodialysis-interdialytic-weight-gain-and-cardiovascular-mortality-a-cohort-study
#3
JOURNAL ARTICLE
Lianna G G Dantas, Mário de Seixas Rocha, José Andrade Moura Junior, Edson Luiz Paschoalin, Sandra R K P Paschoalin, Constança M Sampaio Cruz
BACKGROUND: Patients with chronic kidney diseases (CKD) on haemodialysis (HD) have high morbidity and mortality rates, which are also due to the inherent risks associated with nephropathy. Non-adherence (NA) to the different demands of the treatment can have consequences for the outcome of patients undergoing HD; nevertheless, there are still doubts about such repercussions. This study was conducted to evaluate the association between NA to conventional HD and all-cause mortality and cardiovascular mortality...
November 6, 2019: BMC Nephrology
https://read.qxmd.com/read/31487713/intra-dialytic-hemoglobin-changes-and-cardiovascular-events-a-cohort-study-on-dialysis-outcomes-and-practice-patterns-in-japan
#4
JOURNAL ARTICLE
Takashi Hara, Miho Kimachi, Tatsuyoshi Ikenoue, Tadao Akizawa, Shunichi Fukuhara, Yosuke Yamamoto
BACKGROUND: Ultrafiltration during hemodialysis (HD) causes hemoconcentration. Little is known about the relationships between intra-dialytic changes in hemoglobin concentration and cardiovascular events. Thus, this study aimed to elucidate the relationships between intra-dialytic changes in hemoglobin concentration and cardiovascular events among HD patients. METHODS: This prospective cohort study was based on the Japanese Dialysis Outcomes and Practice Pattern Study phases 4 and 5...
September 5, 2019: American Journal of Nephrology
https://read.qxmd.com/read/31283096/intermittent-pneumatic-compression-in-patients-with-esrd-a-systematic-review
#5
JOURNAL ARTICLE
Christian Torres, Harry E Fuentes, Hassan Saadaldin, Juan P Salazar, Luis H Paz, Luis Diaz, Rami Doukky, Peter D Hart, Alfonso J Tafur
INTRODUCTION: Patients with end-stage renal disease (ESRD) experience frequent hemodialysis (HD) complications. Intradialytic hypotension (IDH) is a common complication presenting in approximately between 20 and 50% of HD sessions. Available interventions such as volume replacement or vasoactive medications are associated with significant side effects. Intermittent pneumatic compression (IPC) has been proposed as a feasible intervention for the prevention of IDH, treatment of peripheral arterial disease and venous ulcers...
October 2019: Hemodialysis International
https://read.qxmd.com/read/31132904/high-sensitivity-troponin-i-levels-in-asymptomatic-hemodialysis-patients
#6
COMPARATIVE STUDY
Tanawat Tarapan, Khrongwong Musikatavorn, Piyarat Phairatwet, Kullaya Takkavatakarn, Paweena Susantitaphong, Somchai Eiam-Ong, Khajohn Tiranathanagul
Reduction in renal clearance and removal by hemodialysis adversely affect the level and utility of high-sensitivity troponin I (hsTnI) for diagnosis of acute myocardial infarction (AMI) in hemodialysis (HD) patients. Furthermore, HD process itself might cause undesirable myocardial injury and enhance post HD hsTnI levels. This comparative cross-sectional study was conducted to compare the hsTnI levels between 100 asymptomatic HD patients and their 107 matched non-chronic kidney disease (CKD) population. The hsTnI levels in HD group were higher than non-CKD group [median (IQR): 54...
November 2019: Renal Failure
https://read.qxmd.com/read/30921805/baseline-serum-magnesium-level-and-its-variability-in-maintenance-hemodialysis-patients-associations-with-mortality
#7
JOURNAL ARTICLE
Lingping Wu, Kedan Cai, Qun Luo, Lailiang Wang, Yue Hong
BACKGROUND/AIMS: The study aimed at investigating the impact of serum magnesium (Mg) baseline level and its variability on mortality in maintenance hemodialysis (MHD) patients. METHODS: Eligible patients receiving regular MHD at Ningbo No. 2 Hospital between January 2009 and August 2016 were enrolled and follow-ups were conducted afterwards until death or transplantation. General information, laboratory results, and outcomes of subjects were collected. The relationship between baseline serum Mg level, its coefficient of variation (CV), and all-cause mortality and cardiovascular disease mortality were assessed, respectively...
2019: Kidney & Blood Pressure Research
https://read.qxmd.com/read/30836948/relationship-between-dialytic-parameters-and-reviewer-confirmed-arrhythmias-in-hemodialysis-patients-in-the-monitoring-in-dialysis-study
#8
JOURNAL ARTICLE
James A Tumlin, Prabir Roy-Chaudhury, Bruce A Koplan, Alexandru I Costea, Vijay Kher, Don Williamson, Saurabh Pokhariyal, David M Charytan
BACKGROUND: Hemodialysis patients have high rates of sudden death, but relationships between serum electrolytes, the dialysis prescription, and intra-dialytic shifts in fluid and electrolyte with arrhythmia are uncertain. METHODS: We analyzed sixty-six hemodialysis patients who underwent loop recorder implantation with continuous electrocardiographic monitoring, weekly to bi-weekly testing of pre- and post-dialysis electrolytes, and detailed capture of dialysis prescription and flow sheet data for 6 months...
March 5, 2019: BMC Nephrology
https://read.qxmd.com/read/30796327/predicting-intradialytic-hypotension-using-heart-rate-variability
#9
JOURNAL ARTICLE
Samel Park, Wook-Joon Kim, Nam-Jun Cho, Chi-Young Choi, Nam Hun Heo, Hyo-Wook Gil, Eun Young Lee
This study aimed to identify whether a new method using heart rate variability (HRV) could predict intradialytic hypotension (IDH) for one month in advance for patients undergoing prevalent hemodialysis. A total 71 patients were enrolled, and baseline clinical characteristics and laboratory results were collected when HRV was measured, then, the frequency of IDH was collected during the observation period. HRV parameters included heart rate, R-R interval, the standard deviation of N-N interval, the square root of the mean squared differences of successive NN intervals, very low frequency, low frequency, high frequency, total power, and low frequency/high frequency ratio...
February 22, 2019: Scientific Reports
https://read.qxmd.com/read/30537709/individualized-hemodialysis-treatment-a-perspective-on-residual-kidney-function-and-precision-medicine-in-nephrology
#10
REVIEW
Inkyong Hur, Yong Kyu Lee, Kamyar Kalantar-Zadeh, Yoshitsugu Obi
BACKGROUND: Residual kidney function (RKF) is often expected to inevitably and rapidly decline among hemodialysis patients and, hence, has been inadvertently ignored in clinical practice. The importance of RKF has been revisited in some recent studies. Given that patients with end-stage renal disease now tend to initiate maintenance hemodialysis therapy with higher RKF levels, there seem to be important opportunities for incremental hemo-dialysis by individualizing the dose and frequency according to their RKF levels...
2019: Cardiorenal Medicine
https://read.qxmd.com/read/29804743/management-of-tunneled-cuffed-catheter-related-right-atrial-thrombosis-in-hemodialysis-patients
#11
JOURNAL ARTICLE
Hongliu Yang, Feng Chen, He Jiao, Han Luo, Yang Yu, Hyokyoung G Hong, Yi Li, Ping Fu, Tianlei Cui
OBJECTIVES: Catheter-related right atrial thrombosis (CRAT) is an underreported but potentially life-threatening complication associated with the use of tunneled-cuffed catheters among hemodialysis (HD) patients. Because little is known about the evidence-based guidelines for the optimal management of CRAT among HD patients, this article reports findings based on 20 patients diagnosed with CRAT after catheter replacement and anticoagulation treatment. METHODS: The article retrospectively reviews the hospital records of 20 HD patients treated in the West China Hospital with diagnosis of CRAT from March 2013 to May 2016...
November 2018: Journal of Vascular Surgery
https://read.qxmd.com/read/30342493/impact-of-transvenous-cardiac-implantable-electronic-devices-in-chronic-hemodialysis-patients-a-single-center-observational-comparative-study
#12
JOURNAL ARTICLE
Seonjeong Jeong, Gi Byoung Nam, Jai Won Chang, Min-Ju Kim, Youngjin Han, Tae-Won Kwon, Yong-Pil Cho
BACKGROUND: We investigated the impact of a transvenous cardiac implantable electronic device (CIED) placement on outcomes and arteriovenous vascular access (VA) patency among chronic hemodialysis patients. METHODS: This is a single-center, observational comparative study between chronic hemodialysis patients with ipsilateral and contralateral CIED and VA. Forty-two consecutive patients who underwent both CIED placement and upper-extremity VA for hemodialysis, regardless of the sequence and time interval between these 2 procedures, were identified between January 2001 and December 2017...
October 20, 2018: BMC Nephrology
https://read.qxmd.com/read/29017162/patiromer-lowers-serum-potassium-when-taken-without-food-comparison-to-dosing-with-food-from-an-open-label-randomized-parallel-group-hyperkalemia-study
#13
COMPARATIVE STUDY
Pablo E Pergola, David M Spiegel, Suzette Warren, Jinwei Yuan, Matthew R Weir
BACKGROUND: Patiromer is a sodium-free, nonabsorbed, potassium binder approved for treatment of hyperkalemia. This open-label study compares the efficacy and safety of patiromer administered without food versus with food. METHODS: Adults with hyperkalemia (potassium ≥5.0 mEq/L) were randomized (1:1) to receive patiromer once daily without food or with food for 4 weeks. The dosage was adjusted (maximum: 25.2 g/day) using a prespecified titration schedule to achieve and maintain potassium within a target range (3...
2017: American Journal of Nephrology
https://read.qxmd.com/read/27742825/atrial-fibrillation-and-chronic-kidney-disease-struggling-through-thick-and-thin
#14
REVIEW
Simardeep Gill, Min Jun, Pietro Ravani
The prevalence of atrial fibrillation and the risk of stroke display an age-related increase in the chronic kidney disease (CKD) population. Evidence from large randomized controlled trials conducted in the general population supports the use of anticoagulation to reduce the risk of stroke in the setting of non-valvular atrial fibrillation. However, data in the non-dialysis-dependent and dialysis-dependent CKD populations are limited largely to observational studies, which demonstrate conflicting results regarding the risk-benefit profile of anticoagulation...
July 1, 2017: Nephrology, Dialysis, Transplantation
https://read.qxmd.com/read/25923984/high-cardiovascular-event-rates-occur-within-the-first-weeks-of-starting-hemodialysis
#15
JOURNAL ARTICLE
Kai-Uwe Eckardt, Iain A Gillespie, Florian Kronenberg, Sharon Richards, Peter Stenvinkel, Stefan D Anker, David C Wheeler, Angel L de Francisco, Daniele Marcelli, Marc Froissart, Jürgen Floege
Early mortality is high in hemodialysis (HD) patients, but little is known about early cardiovascular event (CVE) rates after HD initiation. To study this we analyzed data in the AROii cohort of incident HD patients from over 300 European Fresenius Medical Care dialysis centers. Weekly rates of a composite of CVEs during the first year and monthly rates of the composite and its constituents (coronary artery, cerebrovascular, peripheral arterial, congestive heart failure, and sudden cardiac death) during the first 2 years after HD initiation were assessed...
November 2015: Kidney International
https://read.qxmd.com/read/25231407/sudden-cardiac-death-in-haemodialysis-patients-preventative-options
#16
REVIEW
Diana Yuan Yng Chiu, Smeeta Sinha, Philip A Kalra, Darren Green
Sudden cardiac death (SCD) is the most common cause of death in haemodialysis patients, accounting for 25% of all-cause mortality. There are many potential pathological precipitants as most patients with end-stage renal disease have structurally or functionally abnormal hearts. For example, at initiation of dialysis, 74% of patients have left ventricular hypertrophy. The pathophysiological and metabolic milieu of patients with end-stage renal disease, allied to the regular stresses of dialysis, may provide the trigger to a fatal cardiac event...
December 2014: Nephrology
https://read.qxmd.com/read/21888129/atrial-fibrillation-diagnosis-and-treatment
#17
REVIEW
Cecilia Gutierrez, Daniel G Blanchard
Atrial fibrillation is the most common cardiac arrhythmia. It impairs cardiac function and increases the risk of stroke. The incidence of atrial fibrillation increases with age. Key treatment issues include deciding when to restore normal sinus rhythm, when to control rate only, and how to prevent thromboembolism. Rate control is the preferred management option in most patients. Rhythm control is an option for patients in whom rate control cannot be achieved or who have persistent symptoms despite rate control...
January 1, 2011: American Family Physician
1
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.