title: Arteriovenous fistula-associated high-output cardiac failure: a review of mechanisms.
abstract: High-output cardiac failure can be a rare complication of high-output arteriovenous fistula. The authors present a case in which a hemodialysis patient with a high-flow arteriovenous fistula has cardiac failure that improves with fistula closure. The hemodynamic effects of a fistula are reviewed, and the hemodialysis literature regarding high-output cardiac failure is summarized. To gain insight into the problem of high-output cardiac failure, research efforts should focus on the prospective monitoring of high-access flows.
authors.affiliation: Division of Nephrology, University of British Columbia, Vancouver, British Columbia, Canada. jmmacrae@hotmail.com
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: MacRae
authors.forename: Sanjay
authors.initials: S
authors.lastname: Pandeya
authors.forename: Dennis P
authors.initials: DP
authors.lastname: Humen
authors.forename: Nikolai
authors.initials: N
authors.lastname: Krivitski
authors.forename: Robert M
authors.initials: RM
authors.lastname: Lindsay
mesh_terms: D000368:Aged; D001164:Arteriovenous Fistula / Q000150:complications*; D016534:Cardiac Output, High / Q000150:complications*; D006333:Heart Failure / Q000209:etiology*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D006435:Renal Dialysis