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Ischemic heart disease in patients with end-stage renal disease

S K Fellner1, D Follman, D S Dasgupta

  • 1University of Chicago-MC5100, IL 60637, USA.

Advances in Renal Replacement Therapy
|July 1, 1996
PubMed

Insights

Treating ischemic heart disease (IHD) in elderly, diabetic patients with end-stage renal disease (ESRD) is complex. Coordinated multidisciplinary care improved this patient

Area of Science:

  • Nephrology
  • Cardiology
  • Geriatrics

Background:

  • Cardiovascular disease (CVD) is a major concern in end-stage renal disease (ESRD) patients.
  • Elderly and diabetic populations with ESRD face heightened risks for ischemic heart disease (IHD).

Observation:

  • A case study of an elderly, diabetic patient with ESRD and IHD is presented.
  • The patient exhibited significant risk factors for IHD and complex comorbid conditions.
  • IHD severely impacted the patient's quality of life and functional independence.

Findings:

  • The case highlights the challenges in managing IHD in this high-risk patient group.
  • Surgical intervention presented a dilemma due to the patient's age and comorbidities.
  • A successful intervention was achieved through integrated care.

Implications:

  • Multidisciplinary collaboration is crucial for managing complex cardiovascular cases in ESRD patients.
  • Optimized treatment strategies can improve outcomes and quality of life for elderly, diabetic ESRD patients with IHD.
  • This case underscores the importance of a coordinated renal failure treatment program.

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