Advances in Chronic Kidney Disease
Volume 16, Issue 3 , Pages 173-178, May 2009

Cardiovascular Effects of Home Intensive Hemodialysis

  • Christopher T. Chan, MD, FRCPC

      Affiliations

    • Corresponding Author InformationAddress correspondence to Christopher T Chan, Toronto General Hospital, University Health Network, 200 Elizabeth Street, 8N Room 842, Toronto, Ontario M5G 2C4, Canada.

Division of Nephrology, University Health Network, University of Toronto, Toronto, Ontario, Canada

Cardiovascular mortality remains the leading cause of death in patients with end-stage renal disease. Frequent home hemodialysis in the form of short daily hemodialysis and nocturnal home hemodialysis has been suggested to correct multiple cardiovascular surrogate endpoints in observational and randomized controlled studies. This review discusses recent advances of intensive hemodialysis on important cardiovascular outcomes including blood pressure control and cardiovascular geometry and function. Its impact on calcium-phosphate metabolism and anemia management as they relate to cardiovascular outcomes are highlighted.

Index Words: Frequent hemodialysis, Cardiovascular outcomes, Short daily dialysis, Nocturnal home hemodialysis

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PII: S1548-5595(09)00047-0

doi:10.1053/j.ackd.2009.02.003

Advances in Chronic Kidney Disease
Volume 16, Issue 3 , Pages 173-178, May 2009

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