Why the study?
What is the incidence and clinical significance of painless myocardial ischemia detected by Holter ECG in chronic hemodialysis patients?
Population
45 patients with chronic renal failure undergoing regular hemodialysis
Design
Cohort
Follow-up
48 hours
Authors
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ST changes during dialysis should not prompt CAD evaluation; leaves open whether electrolyte shifts explain them in hemodialysis.
What is the incidence and clinical significance of painless myocardial ischemia detected by Holter ECG in chronic hemodialysis patients?
S-T segment deviations during hemodialysis occur in 15.5% of patients but do not correlate with underlying coronary artery disease, suggesting they may be related to electrolyte shifts rather than true ischemia.
Kremastinos et al. (2008) studied this question.
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