Changes of Cardiac Function by the Arteriovenous Fistula in End Stage Renal Failure Patients
- Author:
Jongkwon PARK
1
;
Hojin JUN
;
Min CHUNG
;
Dong Guk PARK
;
Jung Taik KIM
;
Jong Tae CHO
;
Myung Yong LEE
;
Sung Chul YUN
;
Yeon Hee LEE
;
Pil Won SEO
Author Information
1. Department of Surgery, College of Medicine, Dankook University, Korea.
- Publication Type:Original Article
- Keywords:
Arteriovenous fistula;
Cardiac performance
- MeSH:
Arteriovenous Fistula;
Cardiac Output;
Dialysis;
Fistula;
Heart;
Humans;
Renal Dialysis;
Renal Insufficiency;
Stroke Volume;
Vascular Resistance;
Wrist
- From:Journal of the Korean Society for Vascular Surgery
1998;14(2):309-315
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A hemodialysis arteriovenous fistula may cause high output cardiac state by volume overload and decreased systemic vascular resistance. Arteriovenous fistulas for hemodialysis consist usually of either a radiocephalic fistula at the wrist or a more proximal brachiocephalic fistula at the antecubital fossa. In this study the contribution of arteriovenous fistula to cardiac function has been evaluated by comparing cardiac performance before and after the point occlusion of the anastomotic site. The results suggest that the occlusion of arteriovenous fistula may decrease end-diastolic left ventricular volume (VOLd), increase end-systolic left ventricular volume (VOLs), decrease stroke volume (SV), decrease ejection fraction (EF) and decrease cardiac output (CO). This study shows that arteriovenous fistula influences directly to cardiac performance, so careful determination of dialysis option is required for the end stage renal failure patients with marginal heart function.
