Detection and treatment of high-output cardiac failure resulting from a large hemodialysis fistula.
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.
Reis
G J
GJ
Beth Israel Hospital, Boston, MA 02215.
Hirsch
A T
AT
Come
P C
PC
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