title: Detection and treatment of high-output cardiac failure resulting from a large hemodialysis fistula.
abstract: Hemodialysis fistulas are a cause of high-output congestive heart failure (CHF). A case is reviewed of a patient in whom surgical correction of an excessively high fistula flow led to resolution of CHF. Bradycardia induced by fistula occlusion (Nicaladoni-Branham sign) was not present, but transient occlusion did produce a marked decrease in cardiac output.
authors.affiliation: Beth Israel Hospital, Boston, MA 02215.
authors.forename: G J
authors.initials: GJ
authors.lastname: Reis
authors.forename: A T
authors.initials: AT
authors.lastname: Hirsch
authors.forename: P C
authors.initials: PC
authors.lastname: Come
mesh_terms: D000328:Adult; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D002302:Cardiac Output; D004452:Echocardiography; D005260:Female; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D006435:Renal Dialysis