Key result
Hemodialysis in patients with chronic renal failure was associated with asymptomatic ejection fraction falls in 9 of 10 monitored patients and perfusion defects in 7 of 10 patients.
Why the study?
Does hemodialysis induce myocardial alterations such as ejection fraction falls and perfusion defects in patients with chronic renal failure?
Population
18 patients with chronic renal failure undergoing hemodialysis
Design
Cohort
Follow-up
During hemodialysis session
Authors
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May indicate silent ischemia during hemodialysis; leaves open whether enhanced monitoring improves outcomes in larger cohorts.
Observational (n=18)
Does hemodialysis induce myocardial alterations such as ejection fraction falls and perfusion defects in patients with chronic renal failure?
Hemodialysis frequently induces asymptomatic falls in ejection fraction and myocardial perfusion defects, suggesting transient myocardial ischemia that is poorly detected by standard ST-segment monitoring.
Singh et al. (1994) conducted an observational in chronic renal failure (n=18). Hemodialysis was evaluated on Ejection fraction falls and perfusion defects. Hemodialysis in patients with chronic renal failure was associated with asymptomatic ejection fraction falls in 9 of 10 monitored patients and perfusion defects in 7 of 10 patients.
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