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Chronic renal failure and cardiovascular autonomic function.

S Malik, R J Winney, D J Ewing

    Nephron
    |January 1, 1986
    PubMed
    Summary
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    Chronic renal failure frequently causes autonomic nervous system damage, affecting both parasympathetic and sympathetic functions. This widespread damage occurs regardless of treatment method, impacting patients with kidney disease.

    Area of Science:

    • Nephrology
    • Cardiovascular Physiology
    • Autonomic Neurology

    Background:

    • Chronic renal failure (CRF) is a complex condition with multifaceted systemic effects.
    • Autonomic dysfunction is a recognized complication in various chronic diseases.
    • Understanding autonomic involvement in CRF is crucial for patient management.

    Purpose of the Study:

    • To evaluate autonomic nervous system function in patients with chronic renal failure.
    • To determine the prevalence and type of autonomic abnormalities in CRF.
    • To assess if treatment modality influences autonomic damage in CRF.

    Main Methods:

    • A cohort of 67 patients with chronic renal failure was studied.
    • A standardized battery of five cardiovascular reflex tests was employed.

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  • Autonomic function was assessed through parasympathetic and sympathetic reflex testing.

    • Main Results:

    • 65% of patients exhibited parasympathetic abnormalities.
    • 24% of patients showed additional sympathetic nervous system damage.
    • No significant differences in autonomic damage were observed across conservative management, peritoneal dialysis, and hemodialysis groups.

    Conclusions:

    • Cardiovascular autonomic damage is prevalent in patients with chronic renal failure.
    • Autonomic dysfunction in CRF is widespread and independent of the treatment method used.
    • The findings highlight potential clinical sequelae of autonomic damage in CRF patients.