The Japanese Journal of Clinical Dialysis Vol.17 No.10(3-4)

Theme Management of Cardio-vascular Complication in Hemodialysis Patient
Title Treatment of ischemic heart disease in dialysis patients
Publish Date 2001/09
Author Tokuichiro Sugimoto Department of Medicine, Nephrology Division, Mitsui Memorial Hospital
[ Summary ] Cardiovascular problems are life long issues for patients with end-stage renal failure, since risk factors, including the incidence of arterio sclerosis, is extremely high. The occurrence of ischemic heart disease is more frequent in diabetic patients or patients with nephrosclerosis at the initiation of dialysis, compared to patients with glomerulonephritis. Early detection and early treatment of these diseases is important. With stabilization of plaque through medication, complete revascularization of coronary arteries with PTCA or CABG is necessary. Secondary prevention of these diseases by aggressive risk reduction is warranted to improve quality of life for dialysis patients.
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