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Nephrology pp 389–398Cite as

Myocardial Function in Hemodialysis Patients

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Summary

Myocardial impairment in hemodialysis patients is mainly due to the alterations induced by the predialytic uremic stage. Hemodialysis treatment may improve some of these disturbances: by maintaining a normal salt and fluid balance, by clearing uremic toxins, and by ameliorating nutritional status. But hemodialysis treatment may also have deleterious effects: due to A.V. fistula, to hypotension related to ultrafiltration or acetate dialysate, or due to bioincompatibility and β2 accumulation with amyloid deposition.

Treatment of hypertension, anemia and hyperparathyroidism needs particular attention and care.

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Author information

Authors and Affiliations

  1. Nephrology Department, Louis Pasteur University, 67092, Strasbourg Cedex, France

    H. A. Jahn

Authors
  1. D. C. Schohn
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  2. P. A. Petitjean
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  3. H. A. Jahn
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Editor information

Editors and Affiliations

  1. Department of Internal Medicine, Nihon University School of Medicine, Tokyo, Japan

    Michinobu Hatano M.D. (Professor of Medicine, Director) (Professor of Medicine, Director)

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© 1991 Springer Japan

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Schohn, D.C., Petitjean, P.A., Jahn, H.A. (1991). Myocardial Function in Hemodialysis Patients. In: Hatano, M. (eds) Nephrology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-35158-1_34

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  • DOI: https://doi.org/10.1007/978-3-662-35158-1_34

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-70074-6

  • Online ISBN: 978-3-662-35158-1

  • eBook Packages: Springer Book Archive

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