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Cardiac Complications of Uremia and Dialysis

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Replacement of Renal Function by Dialysis

Abstract

Before the availability of dialysis treatment, pericarditis was frequently seen in uremic patients, particularly in the terminal stages (1). It was a reliable predictor of impending death and frequently caused death by hemorrhagic effusion, tamponade, or other mechanisms. Cardiomyopathy was a less distinctive abnormality usually attributed to underlying collagen vascular or metabolic disease, or electrolyte abnormalities. Some authors considered that an underlying specific uremic cardiomyopathy also existed but its pathogenesis was uncertain. The frequent observation of heart failure in the uremic population was considered an epiphenomenon related to prior hypertension, atherosclerosis, and extracellular volume expansion.

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  1. John F. Maher
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Editors and Affiliations

  1. Nephrology Division, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA

    John F. Maher M.D., FACP (Professor of Medicine, Director) (Professor of Medicine, Director)

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© 1989 Kluwer Academic Publishers

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Maher, J.F. (1989). Cardiac Complications of Uremia and Dialysis. In: Maher, J.F. (eds) Replacement of Renal Function by Dialysis. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1087-4_35

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  • DOI: https://doi.org/10.1007/978-94-009-1087-4_35

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6979-3

  • Online ISBN: 978-94-009-1087-4

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