Related Experiment Video

Updated: Sep 19, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

3.5K

Management of acute intradialytic cardiovascular complications: Updated overview (Review)

Delia Timofte1, Maria-Daniela Tanasescu2,3, Daniela Gabriela Balan4

  • 1Department of Dialysis, Emergency University Hospital, 050098 Bucharest, Romania.

Experimental and Therapeutic Medicine
|February 19, 2021
PubMed

Insights

Chronic kidney disease (CKD) impacts many globally, with patients often experiencing cardiovascular damage and acute complications during dialysis. Effective management is crucial to reduce morbidity and mortality in these high-risk individuals.

Area of Science:

  • Nephrology
  • Cardiology
  • Public Health

Background:

  • Chronic kidney disease (CKD) is a significant global health issue affecting a large population.
  • Key risk factors for CKD include diabetes mellitus, hypertension, and family history.
  • Advanced CKD is associated with substantial cardiovascular damage and multiple comorbidities.

Purpose of the Study:

  • To highlight the prevalence and impact of cardiovascular complications in CKD patients.
  • To underscore the importance of managing comorbidities in CKD patients.
  • To emphasize the critical need for proper management during dialysis to mitigate acute cardiovascular events.

Main Methods:

  • Review of existing literature on CKD, its risk factors, and associated cardiovascular complications.
  • Analysis of comorbidities common in CKD patients, including hypertension, hyperlipidemia, and mineral-bone disorders.
  • Examination of acute cardiovascular complications frequently observed during hemodialysis.

Main Results:

  • CKD patients exhibit significant cardiovascular damage and a high burden of comorbidities.
  • Acute cardiovascular complications, such as hypotension, hypertension, and arrhythmias, are frequent during dialysis.
  • These intradialytic cardiovascular events significantly influence patient morbidity and mortality rates.

Conclusions:

  • Cardiovascular complications represent a major threat to CKD patients undergoing dialysis.
  • Comprehensive management of CKD and its associated comorbidities is essential.
  • Vigilant monitoring and intervention during dialysis are critical for improving patient outcomes.

Keywords:
acute coronary syndromearrhythmiachronic kidney diseasehemodialysishigh blood pressureintradialytic hypotensionsudden deathunstable angina

More Related Videos

The Intra-Aortic Balloon Pump06:13

The Intra-Aortic Balloon Pump

Published on: February 5, 2021

23.1K
Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device07:41

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

Published on: July 20, 2022

2.1K

Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of fluid...