Faster rate of blood volume change in pediatric hemodialysis patients impairs cardiac index
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- 作者：Jessica J. Geer ; Shweta Shah ; Eric Williams ; Ayse Akcan Arikan…
- 关键词：Children ; Hemodialysis ; Hemodynamics ; Cardiac output ; Fluid removal
- 刊名：Pediatric Nephrology
- 出版年：2017
- 出版时间：February 2017
- 年：2017
- 卷：32
- 期：2
- 页码：341-345
- 全文大小：
- 刊物类别：Medicine
- 刊物主题：Pediatrics; Nephrology; Urology;
- 出版者：Springer Berlin Heidelberg
- ISSN：1432-198X
- 卷排序：32
文摘
BackgroundIntradialytic hypotension and myocardial stunning are proposed as contributing to the pathogenesis of increased cardiovascular disease burden and death in patients receiving maintenance hemodialysis (HD). Noninvasive cardiac output measurements provide a dynamic, real-time assessment of hemodynamic parameters. We investigated intradialytic changes in hemodynamic parameters in pediatric outpatients receiving chronic HD and determined patient and treatment risk factors associated with such intradialytic changes.