The Japanese Journal of Clinical Dialysis Vol.30 No.8(1)

Theme Diagnosis and treatment for coronary artery disease and valvular heart disease in dialysis patients
Title Coronary artery disease and valvular heart disease in hemodialysis patients
Publish Date 2014/07
Author Naoko Kawabata Internal Medicine, Cardiovascular, Respirator, and Neurology Division, Asahikawa Medical University
Author Kazumi Akasaka Department of Medical Laboratory and Blood Center, Asahikawa Medical University
Author Naoyuki Hasebe Internal Medicine, Cardiovascular, Respirator, and Neurology Division, Asahikawa Medical University
[ Summary ] Heart failure is a leading cause of death in hemodialysis patients. Coronary artery disease and valvular heart disease significantly affect prognoses for hemodialysis patients. Significant coronary artery stenosis occurs in more than half of those patients with diabetic nephropathy, even when their symptoms are not evident. Hemodialysis patients are frequently experienced by a high incidences of valvular calcification and a rapid progression of valvular stenosis. It is important to detect the above mentioned lesions in the early stages, because these patients exhibit worse prognoses once symptoms appear. We must consider referral to cardiovascular specialists, if coronary artery or valvular heart diseases are suspected.
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