What does this research mean for the field?

Hemodialysis improves cardiac function directly through the correction of electrolytes and osmolar components, independent of changes in preload due to water removal. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

January 1, 1988Japanese Circulation JournalOpen Access

The dual effects of hemodialysis on cardiac function assessed by pulsed doppler echocardiography.

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Why the study?

Does hemodialysis without water removal improve cardiac function in patients undergoing hemodialysis?

Population

8 patients undergoing hemodialysis

Comparison

Extracorporeal ultrafiltration followed by… vs Baseline measurements before each step

Design

Case_series

Follow-up

Immediate (during dialysis session)

Authors

YKYasuo KudohTokyo Institute of Technology SSSHINICHIROU SATOH ATA TsuchidaSapporo Medical University

Discussion

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Implication

Hemodialysis without ultrafiltration may enhance LV function; this case-report observation is hypothesis-generating and requires prospective validation.

Structured PICO

Does hemodialysis without water removal improve cardiac function in patients undergoing hemodialysis?

Population

8 patients undergoing hemodialysis

Intervention

Extracorporeal ultrafiltration (step 1) followed by hemodialysis without water removal (step 2)

Comparator

Baseline measurements before each step

Outcome

Cardiac performance assessed by pulsed doppler echocardiography (including left ventricular end-diastolic dimension, peak flow velocity, mean velocity of circumferential fiber shortening, and average acceleration)surrogate

Hemodialysis directly improves cardiac function independent of preload reduction, likely through the correction of electrolytes and uremic toxins.

Cite This Study

Kudoh et al. (1988) studied this question.

synapsesocial.com/papers/6a1d2f7a7328fa9a742f1804 https://doi.org/10.1253/jcj.52.13

Topics

Echocardiography

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Implication

Hemodialysis without ultrafiltration may enhance LV function; this case-report observation is hypothesis-generating and requires prospective validation.

The dual effects of hemodialysis on cardiac function assessed by pulsed doppler echocardiography.

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

The dual effects of hemodialysis on cardiac function assessed by pulsed doppler echocardiography.

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider