Management of acute intradialytic cardiovascular complications: Updated overview (Review)

An increasing number of patients require renal replacement therapy through dialysis and renal transplantation. Chronic kidney disease (CKD) affects a large percentage of the world's population and has evolved into a major public health concern. Diabetes mellitus, high blood pressure and a famil...

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Bibliographic Details
Published in:Experimental and therapeutic medicine 2021-03, Vol.21 (3), p.282-282, Article 282
Main Authors: Timofte, Delia, Tanasescu, Maria-Daniela, Balan, Daniela Gabriela, Tulin, Adrian, Stiru, Ovidiu, Vacaroiu, Ileana Adela, Mihai, Andrada, Popa, Cristian Constantin, Cosconel, Cristina-Ileana, Enyedi, Mihaly, Miricescu, Daniela, Papacocea, Raluca Ioana, Ionescu, Dorin
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Blood pressure
Cardiac arrhythmia
Care and treatment
Development and progression
Diabetes
Dialysate
Epidemiology
Health care
Heart attacks
Hemodialysis
Hypertension
Hypotension
Kidney diseases
Kidneys
Medical research
Medicine, Experimental
Mortality
Patients
Peritoneal dialysis
Review
Risk factors
Transplantation
Transplants & implants
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Summary:An increasing number of patients require renal replacement therapy through dialysis and renal transplantation. Chronic kidney disease (CKD) affects a large percentage of the world's population and has evolved into a major public health concern. Diabetes mellitus, high blood pressure and a family history of kidney failure are all major risk factors for CKD. Patients in advanced stages of CKD have varying degrees of cardiovascular damage. Comorbidities of these patients, include, on the one hand, hypertension, hyperlipidemia, hyperglycemia, hyperuricemia and, on the other hand, the presence of mineral-bone disorders associated with CKD and chronic inflammation, which contribute to cardiovascular involvement. Acute complications occur quite frequently during dialysis. Among these, the most important are cardiovascular complications, which influence the morbidity and mortality rates of this group of patients. Chronic hemodialysis patients manifest acute cardiovascular complications such as intradialytic hypotension, intradialytic hypertension, arrhythmias, acute coronary syndromes and sudden death. Thus, proper management is extremely important.
ISSN:1792-0981
1792-1015
DOI:10.3892/etm.2021.9713