Valvular heart disease (VHD) is highly prevalent in patients with end-stage kidney disease (ESRD) and has been identified in up to 14% of patients. Mortality among dialysis patients hospitalised for valvular heart disease is high compared with all other dialysis patients (adjusted hazard ratio by Cox regression, 1.35; 95% [CI], 1.25-1.46). Recommendations for valve type selection during valve replacement surgery in patients with ESKD depend on patient age, reasonable life expectancy, and hospital experience.
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González et al. (2024) studied this question.
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