Coronary artery disease in dialysis patients

Nephron
V Wizemann

Abstract

Coronary artery disease is a frequent condition in dialysis patients and-probably due to the atypical symptomatology-is frequently underdiagnosed. Noninvasive tests are of limited value in establishing diagnosis, whereby arteriography is frequently necessary. Secondary prophylaxis is the same as in nondialysis patients. Due to a high reocclusion rate following PTCA bypass grafting is the preferred therapeutical option. When medical therapy is indicated, hemodialysis therapy should be adapted to coexistent coronary artery disease by avoiding dialysis hypotension and overhydration. In coronary patients renal anemia worsens coronary perfusions and should be treated targeting at least a hematocrit of 35%.

Citations

Mar 20, 1999·Kidney International. Supplement·D S SilverbergA Iaina
Dec 12, 2001·Kidney International·D J Goldsmith, A Covic
Sep 8, 2000·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·S NakamuraG Kimura
Aug 18, 2000·The American Journal of Cardiology·M AgirbasliZ M Ghazzal
Oct 4, 2011·The Annals of Thoracic Surgery·Lokeswara Rao SajjaJoshua Bloomstone
Mar 28, 2002·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Martin Zeier, Eberhard Ritz
Oct 21, 2000·Renal Failure·C RollinoF Quarello

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.