title: Cardiac complications of arteriovenous fistulas in patients with end-stage renal disease.
abstract: Cardiovascular disease is the leading cause of the death in dialysis patients. Arteriovenous fistulas (AVFs) are associated with lower mortality and are viewed as the desired access option in most patients with advanced kidney disease needing dialysis. However, AVFs have significant and potentially deleterious effects on cardiac functions particularly in the setting of preexisting heart disease. This article provides a comprehensive and contemporary review to what is known about the impact of AVFs on: congestive heart failure, left ventricular hypertrophy, pulmonary hypertension, right ventricular dysfunction, coronary artery disease and valvular heart disease.
authors: Cardiology Department, University of Rochester, Rochester, NY, USA. Electronic address: adnanalkhouli@gmail.com.
authors: Mohamad
authors: M
authors: Alkhouli
authors: Department of Internal Medicine, Boston University, Boston, MA, USA.
authors: Paul
authors: P
authors: Sandhu
authors: Department of Nephrology, Northwestern University, Chicago, IL, USA.
authors: Khlaed
authors: K
authors: Boobes
authors: Department of Nephrology, Temple University Hospital, Philadelphia, PA, USA.
authors: Kamel
authors: K
authors: Hatahet
authors: Cardiology Department, Temple University Hospital, Philadelphia, PA, USA.
authors: Farhan
authors: F
authors: Raza
authors: Twam Hospital, Abu Dhabi, United Arab Emirates.
authors: Yousef
authors: Y
authors: Boobes
mesh_terms: D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D001810:Blood Volume; D015984:Causality; D015897:Comorbidity; D001026:Coronary Artery Bypass; D018450:Disease Progression; D004730:Endothelium, Vascular / Q000503:physiopathology; D006331:Heart Diseases / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D006439:Hemodynamics; D006801:Humans; D006976:Hypertension, Pulmonary / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000601:surgery / Q000628:therapy*; D016030:Kidney Transplantation; D006435:Renal Dialysis; D012307:Risk Factors; D016896:Treatment Outcome
keywords: Acceso vascular para hemodiálisis; Cardiovascular; Fistula; Fístula; Hemodialysis vascular access; Kidney transplantation; Trasplante renal