Running on the Empty: hemodialysis patients with fluid overload, low blood pressure, and intractable congestive heart failure
Main Article Content
Abstract
The authors presented a case of congestive heart failure in a patient with end-stage renal disease on hemodialysis. The patient has low blood pressure and fluid overload making removal of the fluid by hemodialysis challenging task. The authors put a theory forward for discrepancies in the pressure between the two sides of the heart and propose a surgical procedure “septetomy of the inter-atrial septum” that might resolve the issue of hypotension on dialysis patients with fluid overload.
Keywords:
hemofiltration, hemodialysis, congestive heart failure, ultra-filtration, fluid overload, Intre-atrial septetomy
Article Details
How to Cite
EL-MAGBRI, Awad; RASHID, Shaukat; BRAR, Balhinder.
Running on the Empty: hemodialysis patients with fluid overload, low blood pressure, and intractable congestive heart failure.
Medical Research Archives, [S.l.], v. 6, n. 3, mar. 2018.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/1712>. Date accessed: 30 nov. 2024.
doi: https://doi.org/10.18103/mra.v6i3.1712.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
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16. Canaud B, Cristol JP, Klouche K, et al. Slow continuous ultrafiltration: a means of unmasking myocardial functional reserve in end-stage cardiac disease. Contrib Nephrol. 1991; 93: 79-85.
17. Simpson LA, Rae AP, Simpson K, et al. Ultrafiltration in the management of refractory congestive heart failure. Br Heart J. 1986; 55: 344-347.
18. Rimondini A, Cipolla CM, Della Bella P, et al. Hemofiltration as short-term treatment for refractory congestive heart failure. Am J Med. 1987; 83: 43- 48.
19. Coraim FI, Wolner E. Continuous hemofiltration for the failing heart. New Horizons. 1995; 3: 725-731.
2. Duranti E, Imperiali P, sasdelli M. Is hypertension a mortality risk factor in dialysis? Kidney Int. 1996; 55: S173-S174
3. Fleischmann EH, Bower JD, Salahudeen AK. Risk factor paradox in hemodialysis: better nutrition as a partial explanation. ASAIO J. 2001; 47: 74-81
4. Iseki K, Miyasato F, Tokuyama K, et al. Low diastolic blood pressure, hypoalbuminemia, and risk of death in a cohort of chronic hemodialysis patients. Kidney Int. 1997; 51: 1212-17
5. Klassen PS, Lowrie EG, Reddan DN, et al. Association between pulse pressure and mortality in patients undergoing maintenance hemodialysis. JAMA 2002; 287: 1548-55
6. Port FK, Hulbert-Shearon TE, Wolfe RA, et al. Predialysis blood pressure and mortality risk in a national sample of maintenance hemodialysis patients. Am J Kidney Dis 1999; 33: 507- 17
7. Zager PG, Nikolic J, Brown RH, et al. “U” curve association of blood pressure and mortality in hemodialysis patients. Medical directors of Dialysis Clinic. Inc Kidney Int. 1998; 54: 561-569
8. Coresh J, Longenecker JC, Miller ER, Young HJ, Klag MJ. Epidemiology of cardiovascular risk factors in chronic renal disease. J Am Soc Nephrol. 1998; 9: S24-S30
9. MacFadyen RJ, Ng Kam Chuen MJ, Davis RC. Loop diuretic therapy in left ventricular systolic dysfunction: has familiarity bred contempt for a critical but potentially nephrotoxic cardio renal therapy? Eur J Heart Fail. 2010; 12(7): 649-652
10. Butler J, Forman DE, Abraham WT, et al. Relationship between heart failure treatment and development of worsening renal function among hospitalized patients. Am Heart J. 2004; 147(2): 331-338
11. Knight EL, Glynn RJ, McIntyre KM, Mogun H, Avorn J. Predictors of decreased renal function in patients with heart failure during angiotensin-converting enzyme inhibitor therapy: results from the studies of left ventricular dysfunction (SOLVD). Am Heart J. 1999; 138(5Pt 1): 849-855.
12. Kazory A, Ross EA. Contemporary trends in the pharmacological and extra-corporeal management of heart failure: a nephrologic perspective. Circulation. 2008; 117(7): 975-983.
13. Canaud B, Leblanc M, Leray-Moragues H, Delmas S, Klouche K, Breaud JJ. Slow continuous and daily ultrafiltration for refractory congestive heart failure. Nephrol Dial Transplant. 1998; 13(4): 51-55.
14. Baldamus CA. Hemofiltration. In: Henderson LW, Quellhorst EA, Lysaght MJ, eds, hemodynamics in hemofiltration. Springer-Verlag, Berlin. 1986: 156-200.
15. Quellhorst EA. Ultrafiltration/ hemofiltration practice In: Jacobs C, Kjellstrand CM, Koch KM, Winchester JF, eds. Replacement of renal function by dialysis. Kluwer Academic Publishers. Dordrecht. 1996: 380-389.
16. Canaud B, Cristol JP, Klouche K, et al. Slow continuous ultrafiltration: a means of unmasking myocardial functional reserve in end-stage cardiac disease. Contrib Nephrol. 1991; 93: 79-85.
17. Simpson LA, Rae AP, Simpson K, et al. Ultrafiltration in the management of refractory congestive heart failure. Br Heart J. 1986; 55: 344-347.
18. Rimondini A, Cipolla CM, Della Bella P, et al. Hemofiltration as short-term treatment for refractory congestive heart failure. Am J Med. 1987; 83: 43- 48.
19. Coraim FI, Wolner E. Continuous hemofiltration for the failing heart. New Horizons. 1995; 3: 725-731.