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

acute coronary syndrome arrhythmia chronic kidney disease hemodialysis high blood pressure intradialytic hypotension sudden death unstable angina

Journal

Experimental and therapeutic medicine
ISSN: 1792-0981
Titre abrégé: Exp Ther Med
Pays: Greece
ID NLM: 101531947

Informations de publication

Date de publication:
Mar 2021
Historique:
received: 14 10 2020
accepted: 13 11 2020
entrez: 19 2 2021
pubmed: 20 2 2021
medline: 20 2 2021
Statut: ppublish

Résumé

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.

Identifiants

pubmed: 33603889
doi: 10.3892/etm.2021.9713
pii: ETM-0-0-09713
pmc: PMC7851674
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

282

Informations de copyright

Copyright: © Timofte et al.

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Auteurs

Delia Timofte (D)

Department of Dialysis, Emergency University Hospital, 050098 Bucharest, Romania.

Maria-Daniela Tanasescu (MD)

Department of Medical Semiology, Discipline of Internal Medicine I and Nephrology, Faculty of Medicine, 'Carol Davila̓ University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Nephrology, Emergency University Hospital, 050098 Bucharest, Romania.

Daniela Gabriela Balan (DG)

Discipline of Physiology, Faculty of Dental Medicine, Carol Davila̓ University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Adrian Tulin (A)

Department of Anatomy, Faculty of Medicine, 'Carol Davila̓ University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of General Surgery, 'Prof. Dr. Agrippa Ionescu̓ Clinical Emergency Hospital, 011356 Bucharest, Romania.

Ovidiu Stiru (O)

Department of Cardiovascular Surgery, Faculty of Medicine, 'Carol Davila̓ University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Cardiovascular Surgery, 'Prof. Dr. C.C. Iliescu̓ Emergency Institute for Cardiovascular Diseases, 022322 Bucharest, Romania.

Ileana Adela Vacaroiu (IA)

Department of Nephrology and Dialysis, 'Sf. Ioan' Emergency Clinical Hospital, 042122 Bucharest, Romania.
Department of Nephrology, Faculty of Medicine, 'Carol Davila̓ University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Andrada Mihai (A)

Discipline of Diabetes, 'N. C. Paulescu' Institute of Diabetes, Nutrition and Metabolic Diseases, 020474 Bucharest, Romania.
Department II of Diabetes, 'N. C. Paulescu̓ Institute of Diabetes, Nutrition and Metabolic Diseases, 020474 Bucharest, Romania.

Cristian Constantin Popa (CC)

Department of Surgery, Faculty of Medicine, 'Carol Davila̓ University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Surgery, Emergency University Hospital, 050098 Bucharest, Romania.

Cristina-Ileana Cosconel (CI)

Discipline of Foreign Languages, Faculty of Dental Medicine, 'Carol Davila̓ University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Mihaly Enyedi (M)

Department of Anatomy, Faculty of Medicine, 'Carol Davila̓ University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Radiology, 'Victor Babes̓ Private Medical Clinic, 030303 Bucharest, Romania.

Daniela Miricescu (D)

Discipline of Biochemistry, Faculty of Dental Medicine, 'Carol Davila̓ University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Raluca Ioana Papacocea (RI)

Discipline of Physiology, Faculty of Medicine, 'Carol Davila̓ University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Dorin Ionescu (D)

Department of Medical Semiology, Discipline of Internal Medicine I and Nephrology, Faculty of Medicine, 'Carol Davila̓ University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Nephrology, Emergency University Hospital, 050098 Bucharest, Romania.

Classifications MeSH