Cardiovascular Complications in Uremia and Dialysis

  • Miroslaw Smogorzewski


Cardiovascular complications occur frequently in patients with renal disease and are the leading cause of death in patients with end-stage renal disease (ESRD). Cardiac disease accounted for 39% of all deaths in dialysis patients between 1988 and 1990 in the U.S. (1), 37.8% of deaths in Canada (2), and up to 30% in Europe (3). U.S. Renal Data Systems (USRDS) classifies cardiac diseases as a cause of death into three categories: myocardial infarction, pericarditis, and other cardiac causes, with a death rate of 19.9, 1, and 42.4 per 1000 patients per year, respectively, during the period 1988–1990. The category other cardiac causes includes congestive heart failure, subacute and chronic ischemic heart disease, cardiomyopathy, arrhythmias, and valvular disease. For all patients between 45 and 65 years of age on dialysis, the death rate from cardiovascular disease was approximately 3.5 times the age-specific rate for the normal population (4).


Chronic Renal Failure Infective Endocarditis Dialysis Patient Pericardial Effusion Cardiac Tamponade 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Miroslaw Smogorzewski
    • 1
  1. 1.Division of NephrologyUniversity of Southern California School of MedicineLos AngelesUSA

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