Dilated uremic cardiomyopathy in a dialysis patient cured by persistent ultrafiltration
American Journal of Kidney Diseases, cilt.32, sa.4, ss.664-668, 1998 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 32 Sayı: 4
- Basım Tarihi: 1998
- Doi Numarası: 10.1016/s0272-6386(98)70034-4
- Dergi Adı: American Journal of Kidney Diseases
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.664-668
- Anahtar Kelimeler: uremic cardiomyopathy, left ventricular hypertrophy, mitral regurgitation, tricuspid regurgitation, hemodialysis, ultrafiltration
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
A patient is presented who after 2 years of hemodialysis showed all of the features of congestive cardiomyopathy to a very severe degree: dilation of all cardiac compartments, increased left ventricular mass, low ejection fraction, diastolic disturbances, third- to fourth-degree mitral and tricuspid regurgitation, ascites, and low blood pressure. All of these abnormalities gradually but completely disappeared during 5 months of persistent ultrafiltration during or between dialysis sessions. It was concluded that chronic fluid overload was a major factor in the cardiac disease of this patient. Unrecognized hidden fluid overload has long been known (but also neglected), and its prevention deserves top priority in chronic dialysis patients.