A patient with an uncommon etiology of intradialytic hypotension.
Hemodialysis is associated with various complications, the most common being intradialytic hypotension (IDH). In the majority of cases, IDH is easily corrected and does not represent a life-threatening condition. We present a patient in whom IDH was unresponsive to various corrective strategies. A new mitral valve regurgitant lesion was diagnosed that eventually led to the patient's demise. Unusual etiologies of IDH need to be considered, particularly in instances where routine therapeutic measures are ineffective.
Masani
Naveed N
NN
Department of Medicine, Division of Nephrology and Hypertension, Winthrop University Hospital, Mineola, New York 11501, USA.
Miyawaki
Nobuyuki
N
Maesaka
John K
JK
D000368:Aged; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007022:Hypotension / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000175:diagnosis*; D006435:Renal Dialysis / Q000009:adverse effects*