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A Comparison of Hemodialysis and Peritoneal Dialysis in Patients with Cardiovascular Disease

Rehab B Albakr1, Joanne M Bargman2

  • 1Division of Nephrology, University of Toronto, University Health Network, 200 Elizabeth Street 8N-840, Toronto, ON M5G 2C4, Canada; Division of Nephrology, College of Medicine, King Saud University, King Khalid Street, Riyadh-Al-Diriyah 12372, Saudi Arabia.

Cardiology Clinics
|July 12, 2021
PubMed

Insights

Cardiovascular disease is common in end-stage renal disease patients due to traditional and kidney disease-related factors. This review compares hemodialysis and peritoneal dialysis impacts on cardiovascular conditions in these patients.

Area of Science:

  • Nephrology
  • Cardiology
  • Internal Medicine

Background:

  • End-stage renal disease (ESRD) patients exhibit high cardiovascular disease (CVD) prevalence.
  • Risk factors include traditional CVD risks and non-traditional factors like inflammation, anemia, and bone mineral disease.
  • The dialysis procedure itself contributes to cardiovascular complications.

Purpose of the Study:

  • To review and compare hemodialysis (HD) and peritoneal dialysis (PD).
  • To examine the association between dialysis modalities and various cardiovascular diseases in ESRD patients.
  • To highlight the importance of individualized treatment for CVD in ESRD.

Main Methods:

  • Literature review comparing HD and PD.
  • Analysis of cardiovascular diseases in dialysis patients.
  • Focus on hypertension, coronary artery disease, myocardial stunning, arrhythmias, heart failure, and cardiorenal syndrome.

Main Results:

  • Both HD and PD have distinct impacts on cardiovascular health in ESRD.
  • Specific cardiovascular conditions are differentially affected by HD versus PD.
  • Understanding these differences is key for tailored patient management.

Conclusions:

  • Individualized treatment strategies are crucial for managing CVD in ESRD patients.
  • Comparing HD and PD offers insights into optimizing cardiovascular outcomes.
  • Further research into the cardiorenal syndrome in dialysis patients is warranted.

Keywords:
ArrhythmiasCardiorenalCardiovascularHemodialysisHypertensionMyocardial stunningPeritoneal dialysis

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