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Article: Current perspectives on diagnosis of heart failure in long-term dialysis patients

TitleCurrent perspectives on diagnosis of heart failure in long-term dialysis patients
Authors
Keywordsdiagnosis
Issue Date2011
Citation
American Journal of Kidney Diseases, 2011, v. 57, n. 2, p. 308-319 How to Cite?
AbstractCardiovascular disease is highly prevalent in patients with chronic kidney failure treated using dialysis. The risk of cardiovascular events is estimated to be at least 2- to 10-fold higher in dialysis patients than in age-, race-, and sex-matched persons with normal kidney function. A significant proportion of cardiovascular events in long-term dialysis patients is caused by heart failure, and the presence of heart failure is predictive of a poor prognosis. Despite the significant morbidity and mortality associated with heart failure, very few therapeutic options are proved to prevent and treat the progression of this complication in dialysis patients. There are several potential reasons for this, chiefly reflecting both challenges with diagnosis due to the coexistence of volume overload and a paucity of adequately powered prospective randomized controlled trials that examine the efficacy of different therapeutic options in dialysis patients with cardiac disease or heart failure. Thus, unlike in the general population, very few advances have been made in managing this severe complication in dialysis patients. In this article, an overview of the prevalence, severity, and risk factors for heart failure in maintenance dialysis patients is provided and the diagnosis of heart failure in these patients is revisited. © 2011 National Kidney Foundation, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/228461
ISSN
2015 Impact Factor: 6.269
2015 SCImago Journal Rankings: 2.313

 

DC FieldValueLanguage
dc.contributor.authorWang, Angela Yee Moon-
dc.contributor.authorSanderson, John E.-
dc.date.accessioned2016-08-13T08:02:28Z-
dc.date.available2016-08-13T08:02:28Z-
dc.date.issued2011-
dc.identifier.citationAmerican Journal of Kidney Diseases, 2011, v. 57, n. 2, p. 308-319-
dc.identifier.issn0272-6386-
dc.identifier.urihttp://hdl.handle.net/10722/228461-
dc.description.abstractCardiovascular disease is highly prevalent in patients with chronic kidney failure treated using dialysis. The risk of cardiovascular events is estimated to be at least 2- to 10-fold higher in dialysis patients than in age-, race-, and sex-matched persons with normal kidney function. A significant proportion of cardiovascular events in long-term dialysis patients is caused by heart failure, and the presence of heart failure is predictive of a poor prognosis. Despite the significant morbidity and mortality associated with heart failure, very few therapeutic options are proved to prevent and treat the progression of this complication in dialysis patients. There are several potential reasons for this, chiefly reflecting both challenges with diagnosis due to the coexistence of volume overload and a paucity of adequately powered prospective randomized controlled trials that examine the efficacy of different therapeutic options in dialysis patients with cardiac disease or heart failure. Thus, unlike in the general population, very few advances have been made in managing this severe complication in dialysis patients. In this article, an overview of the prevalence, severity, and risk factors for heart failure in maintenance dialysis patients is provided and the diagnosis of heart failure in these patients is revisited. © 2011 National Kidney Foundation, Inc.-
dc.languageeng-
dc.relation.ispartofAmerican Journal of Kidney Diseases-
dc.subjectdiagnosis-
dc.titleCurrent perspectives on diagnosis of heart failure in long-term dialysis patients-
dc.typeArticle-
dc.description.natureLink_to_subscribed_fulltext-
dc.identifier.doi10.1053/j.ajkd.2010.07.019-
dc.identifier.pmid21056523-
dc.identifier.scopuseid_2-s2.0-78751624559-
dc.identifier.volume57-
dc.identifier.issue2-
dc.identifier.spage308-
dc.identifier.epage319-

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