| [ Summary ] |
Patients with cardiac disease often experience intradialytic hypotension and arrhythmia.On the other hand, we must pay attention to the occurrence of pulmonary edema on these patients, because their dry weight may not be correctly fixed due to insufficient ultrafiltration. Interdialytic weight gains need to be kept below 3%, and then dry weight may be appropriately set for each patient. Both ultrafiltration and removal of materials should be done slowly in patients with severe intradialytic hypotension. We also need to consider additional hemodialytic methods and other strategies, such as linear decreasing ultrafiltration,extracorporeal ultrafiltration, hemofiltration and hemodiafiltration. Continuous dialysis treatment may be tried for patients with severe cardiac failure, who are not able to maintain hemodynamic stability during intermittent dialysis treatment regimens. In case of the occurence of intradialytic arrhythmia occurs, an appropriate drug prescription and the control of volume and electrolyte disturbances are important aspects of hemodialysis treatment. |