[Cardiac diagnostic techniques in dialysis patients]
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Updated: Aug 20, 2026

Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis
Published on: October 2, 2020
Hiroshige Ohashi1, Hiroshi Oda, Michiya Ohno
1Division of Nephrology, Prefectural Gifu Hospital.
Insights
Diagnosing heart disease in dialysis patients involves various tests, from basic X-rays to advanced imaging and blood markers. This review discusses the utility of these cardiovascular diagnostic techniques for dialysis patients.
Area of Science:
- Cardiology
- Nephrology
Context:
- Cardiovascular disease is a leading cause of mortality in patients undergoing dialysis.
- Diagnostic techniques for cardiovascular assessment in this population have rapidly evolved.
Purpose:
- To review and discuss the current diagnostic techniques for cardiovascular disease in patients with dialysis.
- To highlight the evolving landscape of cardiac assessment in this high-risk group.
Summary:
- Traditional methods like chest roentgenogram and electrocardiogram remain crucial.
- Noninvasive imaging (echocardiography, CT, MRI) and invasive procedures (cardiac catheterization) provide detailed anatomical and functional information.
- Biomarkers such as natriuretic peptides, noradrenaline, and troponin aid in evaluating cardiac function.
Impact:
- Provides a comprehensive overview to guide clinicians in selecting appropriate diagnostic tools.
- Aims to improve the accuracy and timeliness of cardiovascular disease diagnosis in dialysis patients.
- Facilitates better management strategies for cardiovascular complications in this vulnerable patient population.
Abstract:
The field of cardiovascular disease in patients with dialysis has seen a tremendous increase in the number and diversity of diagnostic techniques available. Therefore, the newer methods have added new types of information to our diagnostic area. The plain chest roentgenogram and electrocardiogram are still simple and important tests. The other noninvasive procedures such as echocardiography, radionuclide techniques, CT and MRI supply important additional information concerning cardiac anatomy and function, but invasive cardiac catheterization remains the only method for accurately measuring intracardiac pressures and cineangiography is still necessary for defining the anatomy of the coronary arteries. Recently, the determination of natriuretic peptides (ANP,BNP), noradrenaline and troponin is added to evaluate cardiac function. The purpose of this paper discusses the use of these techniques in patients with dialysis.
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