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Hemodialysis-Induced Myocardial Stunning: A Review

Maxine Brown, LaVonne Burrows, Timothy Pruett

    Nephrology Nursing Journal : Journal of the American Nephrology Nurses' Association
    |August 21, 2015
    PubMed

    Insights

    Hemodialysis can harm the heart, causing myocardial stunning. Reducing rapid fluid removal during treatment may protect patients undergoing chronic hemodialysis.

    Area of Science:

    • Nephrology
    • Cardiology
    • Internal Medicine

    Background:

    • Patients on hemodialysis experience high rates of cardiac morbidity and mortality.
    • Echocardiographic findings suggest hemodialysis-related myocardial stunning.
    • A link exists between hemodialysis treatment and cardiac complications.

    Purpose of the Study:

    • To investigate the association between hemodialysis and cardiac sequelae.
    • To identify factors contributing to hemodialysis-related myocardial stunning.

    Main Methods:

    • Review of echocardiographic evidence in hemodialysis patients.
    • Analysis of fluid removal rates during hemodialysis.
    • Identification of potential risk factors for cardiac events.

    Main Results:

    • Fluid removal rates exceeding 13 mL/kg/hour are linked to myocardial stunning.
    • Hemodialysis treatment itself may contribute to cardiac issues.

    Conclusions:

    • Modified treatment monitoring and alternative dialysis methods can improve outcomes.
    • Enhanced patient education on interdialytic weight gain is crucial.
    • Reducing excessive fluid removal may mitigate cardiac risks in hemodialysis patients.

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