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Hemodialysis-Related Cardiomyopathy

Left ventricular dysfunction and hypertrophy associated with long-term hemodialysis therapy.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Hemodialysis-Related Cardiomyopathy?

Uremic or dialysis-related cardiomyopathy develops in chronic kidney disease and long-term hemodialysis patients, with left ventricular hypertrophy, systolic and diastolic dysfunction and increased arrhythmia risk.

Mechanisms include volume overload, hypertension, uremic toxins, mineral bone disease, anemia, phosphate imbalance, secondary hyperparathyroidism and endothelial dysfunction. These patients have markedly higher rates of heart failure, sudden cardiac death and myocardial injury than the general population.

Advanced management includes careful volume control, optimization of dialysis duration and frequency, treatment of hypertension and bone-mineral disorders, anemia and electrolyte management, and arrhythmia surveillance.

Symptoms

Dyspnea and orthopnea
Exercise intolerance
Leg edema
Palpitations and syncope
Chest pain
Features of anemia
Intradialytic hypotension

Risk Factors

Long-term hemodialysis
Hypertension
Diabetic nephropathy
Phosphate and calcium imbalance
Secondary hyperparathyroidism
Anemia
Poor volume control

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Increasing dyspnea and edema
  • Intradialytic hypotension
  • Palpitations and syncope
  • Chest pain
  • New arrhythmia
  • Increasing dialysis complications

Treatment Methods

01
Volume management and dry weight optimization
02
Blood pressure control
03
ARNI, beta-blocker, MRA in suitable patients
04
SGLT2 inhibitors in selected indications
05
Phosphate binders and calcimimetics
06
Anemia therapy
07
Joint cardiology-nephrology follow-up

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.