Uremia effects on the cardiovascular system

(1) uremic pericarditis ago, Pericarditis uremic patients, often before symptoms of dying, since there dialysis therapy, patients can be a long time. However, insufficient dialysis or severe malnutrition cases, pericarditis can occur. PABICO report: better treatment of dialysis patients and occasionally with viral pericarditis can, and adenovirus infection. Uremic patients immunocompromised, individual immune function in patients with defects occur more easily adenovirus infection. Dialysis patients with anticoagulants, which may induce cardiac hemorrhage, pericardial fluid accumulation, the Heart packet packing, heart and oppression can have serious consequences. (2) uremic myocarditis uremia cardiomyopathy is relatively rare, clinical manifestations: Heart extreme expansion serious heart failure. This myocarditis often occurred in patients with severe malnutrition, but also can not simply the lack of special vitamin and nutrition and myocardial disease linked to the pathological changes, and there may be other reasons to be discussed. (3) arrhythmia arrhythmia usually associated with the potassium imbalance. Diet carelessness, surgery or serious infections caused by sudden cardiac rhythm disorders can lead to hyperkalemia, serum potassium changes of the patients have spent more dangerous digitalis, the sharp lowering serum potassium can cause arrhythmia. (4) myocardial metastatic calcification hyperphosphatemia in some patients with long-term, like other organizations, myocardial metastatic calcification may occur, so that this part of the loss of function of muscle fibers, and a frequent arrhythmia. (5) Hypertension Hypertension is a common chronic glomerulonephritis symptoms, can pass a stringent water, sodium control to the prevention and control of hypertension, but many patients with blood pressure team's training went ahead, the need for antihypertensive drugs, generally do not need renal excision, author of a group of 98 cases of chronic hemodialysis patients, 31 cases of dialysis before normal blood pressure, 67 cases of blood pressure greater than 18.67/12 kpa (140/90mmHg), the regular hemodialysis, combined with a small number of antihypertensive drugs, 40 cases blood pressure can be maintained in the normal range, 27 patients with a variety of antihypertensive drug use, blood pressure difficult to control, these patients 17 cases accepted the same kinds of cadaveric renal transplantation, renal function in a long-term survival (4 years) of 13 cases of , 8 cases of blood pressure back to normal, seven patients taking a small amount of blood pressure drugs, blood pressure can be maintained at 18.67/12 kPa below, suggesting that renal transplantation is the treatment of refractory hypertension uremic an ideal method.