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Approach to Chest Pain During Dialysis

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Interventional Nephrology

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Abstract

A patient who complains of chest pain during dialysis represents an immediate challenge. The symptoms may be of benign etiology, but occasionally, they may also be a harbinger of a potential catastrophe. Although mild chest pain or discomfort is reported to occur in 1–4% of dialysis treatments, in light of the high incidence of cardiovascular events and sudden cardiac deaths in dialysis patients, any acute onset of chest pain in a patient on hemodialysis should be attended to promptly. This chapter summarizes the approach, evaluation, differential diagnosis, and management of chest pain during dialysis.

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Author information

Authors and Affiliations

  1. Department of Renal Medicine, Singapore General Hospital, Singapore, Singapore

    Chieh Suai Tan

  2. Interventional Radiology, Kaiser Permanente West Los Angeles Medical Center, Los Angeles, CA, USA

    Diego A. Covarrubias

  3. Interventional Nephrology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    Steven Wu

Authors
  1. Chieh Suai Tan
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  2. Diego A. Covarrubias
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  3. Steven Wu
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Corresponding author

Correspondence to Steven Wu .

Editor information

Editors and Affiliations

  1. Department of Interventional Nephrology, University of Michigan, Ann Arbor, MI, USA

    Alexander S. Yevzlin

  2. Department of Medicine, Jersey Shore University Medical Center, Neptune City, NJ, USA

    Arif Asif

  3. Division of Nephrology and Hypertension, Albany Medical College, Albany, NY, USA

    Loay Salman

  4. Division of Nephrology and Hypertension, University of Michigan, Ann Arbor, MI, USA

    Karthik Ramani

  5. Department of Internal Medicine and Nephrology, University of Michigan, Ann Arbor, MI, USA

    Shaker S. Qaqish

  6. Department of Nephrology and Hypertension, Glickman Urological and Kidney Institute, Cleveland, OH, USA

    Tushar J. Vachharajani

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Tan, C.S., Covarrubias, D.A., Wu, S. (2022). Approach to Chest Pain During Dialysis. In: Yevzlin, A.S., Asif, A., Salman, L., Ramani, K., Qaqish, S.S., Vachharajani, T.J. (eds) Interventional Nephrology. Springer, Cham. https://doi.org/10.1007/978-3-030-81155-6_20

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  • DOI: https://doi.org/10.1007/978-3-030-81155-6_20

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  • Print ISBN: 978-3-030-81154-9

  • Online ISBN: 978-3-030-81155-6

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