Cardiovascular autonomic damage is widespread among patients with chronic renal failure regardless of the treatment modality.
Autonomic neuropathy is common in chronic renal failure across modalities; hypothesis-generating for screening and outcome trials.
Autonomic function was assessed in 67 patients with chronic renal failure using a standardized battery of five cardiovascular reflex tests. The results showed that 38 (65%) had early or definite parasympathetic abnormalities, while 14 (24%) had additional sympathetic damage. There were no significant differences between those treated conservatively (n = 19), those on continuous ambulatory peritoneal dialysis (n = 8) and those on intermittent haemodialysis (n = 40). Cardiovascular autonomic damage is widespread among patients with chronic renal failure, however treated, and may have a number of clinical sequelae.
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Malik et al. (2008) studied this question.
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