Cardiovascular Effects of a Decade or Longer of Maintenance Hemodialysis

A Noninvasive Study
  • Edward M. Abramowitz
  • Rao S. K. Musunuru
  • William J. Scarpa
  • Geri Mandel


Cardiovascular disease is the leading cause of death in patients on chronic dialysis for renal failure.1,2 Hyperlipidemia, vascular calcification, systemic hypertension, and left ventricular hypertrophy have a high incidence in this population and have been cited as contributory to the increased cardiovascular mortality. Fernando et a1.,3 however, dispute the high incidence of ischemic cardiovascular disease and mortality therefrom. Nevertheless, it is of obvious importance to monitor the cardiovascular status in dialysis patients who, because of their frequent exposure to invasive procedures, ought to be protected from any additional traumatic procedures. Echocardiography and phonocardiography are now universally accepted as dependable means of diagnostic and prognostic evaluation of cardiac disorders. Data gathered by these noninvasive methods have been previously recorded in unmatched patients on both relatively long-and short-term hemodialysis.3,4 We herein report the findings using these noninvasive methods in a group of patients on hemodialysis for a minimum of 11 years. They are compared with a control group on hemodialysis for a short time. All patients are age and sex matched. We found that cardiovascular dysfunction in this group of patients on longterm hemodialysis was not worse than in the control short-term hemodialysis patients.


Chronic Renal Failure Dialysis Patient Pericardial Effusion Chronic Dialysis Maintenance Hemodialysis 
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Copyright information

© Plenum Publishing Corporation 1982

Authors and Affiliations

  • Edward M. Abramowitz
    • 1
  • Rao S. K. Musunuru
    • 1
  • William J. Scarpa
    • 1
    • 2
  • Geri Mandel
    • 1
  1. 1.Division of CardiologyThe Long Island College HospitalBrooklynUSA
  2. 2.Department of MedicineThe Long Island College HospitalBrooklynUSA

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