Appropriate dialysis treatment gives opportunity to slow cardiovascular damage

[okarol]

09-05-2011 07:37 AM CET   
   
An appropriate dialysis treatment provides the unique opportunity to slow down cardiovascular damage
Health & Medicine
Press release from: Pabst Science Publishers
 
(openPR) - "Cardiac disease is the major cause of death in dialysis patients, accounting for half of the total mortality. When routinely assessed by echocardiography, the proportion of patients with abnormal dimensions of cardiac compartments is even higher. When chronic kidney disease progresses, cardiovscular damage starts to develop and may already be quite severe before dialysis is started," Branko Braam and colleagues report in their textbook "Hypertension and Cardivascular Aspects of Dialysis Treatment".

The authors emphasize: "Initiation of dialysis treatment comes with a step further increase in cardiovascular mortality during the first year of treatment, and remains very high thereafter. While the same pathogenetic mechanisms are involved, the question whether dialysis by itself induces other damaging factors is under debate. Unfortunately, some authors consider it as inexorable fate and speak about the natural history of cardiac disease in dialysis patients.

This suggests that the development is the result of some intrinsic cardiac process, while in reality it´s course is importantly determined by extrinsic, controllable factors, i.e. the way of treatment. Dialysis provides a unique opportunity to correct some of these disturbances and thus slow down, improve, or even cure complications, which once were considered inevitable ..."


Branko Braam, Kailash Jindal, Evert J. Dorhout Mees:
Hypertension and Cardiovascular Aspects of Dialysis Treatment - Clinical management of volume control.
Pabst, Lengerich/Berlin 2011, 192 pages, ISBN 978-3-89967-721-8

Matthias Girndt: Infektionen und kardiovaskuläre Komplikationen.
in: Akademie Niere (Hrsg.) VI Intensivkurs Nieren- und Hochdruckkrankheiten.
Pabst, Lengerich/Berlin 2011, 532 Seiten, ISBN 978-3-89967-709-6

Pabst Science Publishers (Lengerich/Westfalia, Germany) is publishing ten psychological and nine medical journals; furthermore, Pabst is publishing more than hundred psychological and medical books per year – partly specialized scientific literature, partly specialist literature written for laypeople.

Pabst Science Publishers
Eichengrund 28
49525 Lengerich
Tel. 05484-308
Fax 05484-550
E-Mail: pabst.publishers@t-online.de
Internet: www.pabst-publishers.com / www.pabst-science-publishers.com

http://www.openpr.com/news/190262/An-appropriate-dialysis-treatment-provides-the-unique-opportunity-to-slow-down-cardiovascular-damage.html

[MooseMom]

This suggests that the development is the result of some intrinsic cardiac process, while in reality it´s course is importantly determined by extrinsic, controllable factors, i.e. the way of treatment. Dialysis provides a unique opportunity to correct some of these disturbances and thus slow down, improve, or even cure complications, which once were considered inevitable ..."

Boy, this is certainly open ended and leads to many more questions than it answers.  Which kind of dialysis can correct which disturbances, and which complications can be cured that are now considered inevitable?  Anyone?