Skip to main content

Special aspects of dialysis-related heart disease

  • Chapter
Cardiovascular Aspects of Dialysis Treatment
  • 116 Accesses

Abstract

As we saw in the preceding pages, volume retention inevitably leads to dilatation of the heart compartments. This first becomes apparent in increases of left atrial, ventricular end diastolic diameters and volumes. Published data reveal that values in the upper range of normal are the rule (London et al. 1993) and frank dilatation very frequent (between 20% and 50% in different series). This fact alone strongly suggests inadequate volume control in a large proportion of the dialysis population. Indeed a direct relationship was found between blood volume and LVDd.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Bibliography

  • Amann K, Neususs R, Ritz E et al. Changes in vascular architecture, independent of blood pressure in experimental uremia. Am J Hypert. 1995; 8: 409–17.

    Article  CAS  Google Scholar 

  • Boltwood CM, Tei C, Wong M et al. Quantitative echocardiography of the mitral complex in dilated cardiomyopathy: the mechanism of functional mitral regurgitation. Circulation. 1983; 68: 498–508.

    Article  CAS  PubMed  Google Scholar 

  • Bonow O, Udelson E. Left ventricular diastolic dysfuncions as a cause of congestive heart failure. Ann Intern Medicine. 1992; 117: 502–10.

    Article  CAS  Google Scholar 

  • Bryg JR, Gordon PR, Migdal SD. Doppler detected tricuspid, mitral or aortic regurgitation in end-stage renal disease. Am J Cardiol. 1989; 63: 750–3.

    Article  CAS  PubMed  Google Scholar 

  • Buoncristiani U, Fagugli RM, Pinciaroli MR et al. Reversal of left ventricular hypertrophy in uremic patients treated with daily hemodialysis. In: Clinical hypertension in nephrology. Karger, Basel ed. 1996: 152–6.

    Google Scholar 

  • Burt RK, Gupta S, Suki WN et al. Reversal of left ventricular dysfunction after trans-plantation. Annals lnt Med. 1989; 111: 635–40.

    Article  CAS  Google Scholar 

  • Canella G, Paoletti E, Barocci S et al. Angiotensin converting enzyme gene polymor-phism and reversibility of uremic left ventricular hypertrophy following long-term antihypertensive therapy. Kidney Int. 1998; 54: 618–26.

    Article  Google Scholar 

  • Cirit M, Özkahya M, Soydas C et al. Disappearance of mitral and tricuspid regurgita-tion in haemodialysis patients after ultrafiltration. Nephrol Dial Transplant. 1998; 13: 389–92.

    Article  CAS  PubMed  Google Scholar 

  • Fernanez-Reyes MJ, Bajo MA, RobeIs P et al. Mitral annular calcification in CAPD patients with low degree of hyperparathyroidism. Nephrol Dial Transplant. 1995; 10: 2090–5.

    Google Scholar 

  • Foley RN, Parfrey Ps, Harnett JD et al. The prognostic importance of left ventricular geometry in uremic cardiomyopathy. J Am Soc Nephrol. 1995; 5: 2024–31.

    CAS  PubMed  Google Scholar 

  • Golf S, Lunde P, Abrahamsen M et al. Effect of hydration state on cardiac function in patients on chronic haemodialysis. Br Heart J. 1983; 49: 183–6.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Grossman W, Jones D, McLaurin P. Wall stress and patterns of hypertrophy in the human left ventricle. J Clin Invest. 1975; 56: 56–64.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Harnett JD, Foley RN, Kent GM et al. Congestive heart failure in dialysis patients. Prevalence, incidence, prognosis and risk factors. Kidney Int. 1995; 47: 884–90.

    Article  CAS  PubMed  Google Scholar 

  • Hung J, Harris PJ, Uren RF et al. Uremic cardionnyopathy effect of hemodialysis on left ventricular function. New Eng J Med. 1980; 302: 547–51.

    Article  CAS  PubMed  Google Scholar 

  • Katz AM. Cardiomyopathy of overload. New Eng J Med. 1990; 322: 100–10.

    Article  CAS  PubMed  Google Scholar 

  • London GM, Fabiani F. Marchais J. Uremic cardiomyopathy: an inadequate left ventricular hypertrophy. Kidney Int. 1987; 31: 973–80.

    Article  CAS  PubMed  Google Scholar 

  • London GM, Marchais SJ, Guerin AP et al. Cardiac hypertrophy and arterial alteration in end-stage renal disease. Haemodynamic factors. Kidney Int. 1993; 43 (Suppl. 4): 42–9.

    Google Scholar 

  • Michel P. Aortic stenosis in chronic renal failure patients treated by dialysis. Nephrol Dial Transplant. 1998;13(Suppl. 4)44–8.

    Google Scholar 

  • Özkahya M, Ok E, Cirit M et al. Regression of left ventricular hypertrophy in haemo-dialysis patients by ultrafiltration and reduced salt intake without antihypertensive drugs. Nephrol Dial Transplant. 1998; 13: 1489–93.

    Article  PubMed  Google Scholar 

  • Perez JE, Smith CA, Meltzer VN. Pulmonary valve insufficiency: a common cause of transient diastolic murmurs in renal failure. Ann Int Med. 1985; 103: 497–502.

    Article  Google Scholar 

  • Raine AEG. Acquired aortic stenosis in dialysis patients. Nephron. 1994; 68: 159–68.

    Article  CAS  PubMed  Google Scholar 

  • Ribeiro S, Ramos A, Brandao A et al. Cardiac valve calcifications in haemodialysis patients: role of calcium—phosphate metabolism. Nephrol Dial Transplant. 1998; 13: 2037–40.

    Article  CAS  PubMed  Google Scholar 

  • Rostand SG, Drücke TB. Parathyroid hormone, vitamin D and cardiovascular disease in renal failure. Kidney Int. 1999; 56: 383–92.

    Article  CAS  PubMed  Google Scholar 

  • Silberberg JS, Barre PE, Prichard SS et al. Impact left ventricular hypertrophy on survival in end-stage renal disease. Kidney Int. 1989; 36: 286–90.

    Article  CAS  PubMed  Google Scholar 

  • Szidon JP. Pathophysiology of the congested lung. Cardiol Clin. 1989; 7: 39.

    CAS  PubMed  Google Scholar 

  • Töz H, Özerkan F, Ãœnsal A et al. Dilated uremic cardiomyopathy in a dialysis patient cured by persistent ultrafiltration. Am J Kidney Dis. 1998; 32: 664–8.

    Article  PubMed  Google Scholar 

  • Wallin CB, Jacobson SH, Leksell LG. Subclinical pulmonary oedema and intermittent haemodialysis. Nephrol Dial Transplant. 1996; 11: 2269–75.

    Article  CAS  PubMed  Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Mees, E.J.D. (2000). Special aspects of dialysis-related heart disease. In: Cardiovascular Aspects of Dialysis Treatment. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-0973-6_8

Download citation

  • DOI: https://doi.org/10.1007/978-94-017-0973-6_8

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-90-481-5442-5

  • Online ISBN: 978-94-017-0973-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics