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September 1, 2006Seminars in Dialysis

Editorials: The Cardiovascular Effects of Arteriovenous Fistulas in Chronic Kidney Disease: A Cause for Concern?

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Why the study?

What are the cardiovascular effects and complications of arteriovenous fistulas in patients with chronic kidney disease?

Population

Patients with chronic kidney disease

Design

Editorial

Authors

JMJennifer M. MacRaeAlberta Health ServicesALAdeera LevinUniversity of Arkansas at Little RockIBIsrael BelenkieUniversity of Calgary

Discussion

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Implication

May warrant closer cardiac surveillance after AVF creation in CKD; hypothesis-generating and leaves causal impact on outcomes open for RCTs.

Structured PICO

What are the cardiovascular effects and complications of arteriovenous fistulas in patients with chronic kidney disease?

P
Population
Patients with chronic kidney disease
I
Intervention
Arteriovenous fistula (AVF) creation
O
Outcome
Cardiovascular effects and complications (left ventricular hypertrophy, high-output cardiac failure, exacerbation of coronary ischemia, central vein stenosis)

Arteriovenous fistulas in chronic kidney disease patients may lead to significant cardiovascular complications, including high-output heart failure and left ventricular hypertrophy, warranting careful clinical monitoring.

Cite This Study

MacRae et al. (2006) studied this question.

synapsesocial.com/papers/6a87a356a9eb41bcdfc4d6e5https://doi.org/10.1111/j.1525-139x.2006.00185.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiac Failure and Upper Extremity Arteriovenous Dialysis Fistulas1976 · 166 citations
  2. 2Compensations of cardiac output and other circulatory functions in areflex dogs with large A-V fistulas1961 · 100 citations
  3. 3Variable effects of heart rate on phasic and regional left ventricular muscle blood flow in anaesthetized dogs1975 · 50 citations
  4. 4Regression of Left Ventricular Hypertrophy After Arteriovenous Fistula Closure in Renal Transplant Recipients: A Long-Term Follow-Up2004 · 95 citations
  5. 5Heart Failure as a Complication of Hemodialysis Arteriovenous Fistula1972 · 172 citations