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Hemorrhagic Stroke in Chronic Kidney Disease
Vijoy Kumar Jha1, Vivek Sharda2, Salim A Mirza3
1Physician and Nephrologist, INHS Klayani, Vizag, Andhra Pradesh.
Hemorrhagic stroke is leading cause of death in Chronic Kidney Disease (CKD) population. Uremic patients are susceptible to hemorrhagic complications due to multiple reasons i.e platelet dysfunction, low platelet number, use of heparin during hemodialysis, use of anticoagulants for thromboembolic risk etc. Prevention and treatment of hemorrhagic stroke is complicated in CKD setting and if not managed properly can lead to several fold increased mortality and morbidity rate. In this brief review we will discuss about the magnitude of hemorrhagic stroke, important risk factors and outcomes in predialysis and dialysis setting and its important preventive and treatment strategy.
Hemorrhagic stroke is leading cause of death in Chronic Kidney Disease (CKD) population. Uremic patients are susceptible to hemorrhagic complications due to multiple reasons i.e platelet dysfunction, low platelet number, use of heparin during hemodialysis, use of anticoagulants for thromboembolic risk etc. Prevention and treatment of hemorrhagic stroke is complicated in CKD setting and if not managed properly can lead to several fold increased mortality and morbidity rate. In this brief review we will discuss about the magnitude of hemorrhagic stroke, important risk factors and outcomes in predialysis and dialysis setting and its important preventive and treatment strategy.
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