Congestive heart failure due to systolic dysfunction: The Cinderella of cardiovascular management in dialysis patients

被引:32
作者
Ritz, E [1 ]
Dikow, R [1 ]
Adamzcak, M [1 ]
Zeier, M [1 ]
机构
[1] Heidelberg Univ, Dept Internal Med, D-69115 Heidelberg, Germany
关键词
D O I
10.1046/j.1525-139X.2002.00044.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Cardiac disease is common in dialysis patients. Survival is poorest in the subgroup with systolic dysfunction (pump failure). Audits show that cardiovascular management of dialysis patients in general, and treatment of congestive heart failure (CHF) specifically, is generally not in agreement with recommendations based on evidence obtained from controlled trials, admittedly in nonrenal patients. The pathophysiology underlying CHF and the rationale underlying interventions are discussed in an effort to heighten awareness of this important clinical problem in the dialysis community.
引用
收藏
页码:135 / 140
页数:6
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