Patients who demonstrate worsening of cardiac wall motion (WM) during hemodialysis have higher 1-year mortality. We sought to identify risk factors for dialysis-induced WM abnormalities. Additionally, we examined the effects of hemodialysis on other parameters of cardiac function. Forty patients underwent echocardiography directly before dialysis and during the last hour of dialysis (79 dialysis sessions). Candidate predictors for intradialytic worsening of WM included age, a history of heart failure (HF) or coronary artery disease, changes in blood pressure or heart rate, high sensitivity cardiac troponin T and N-terminal brain natriuretic peptide. Among 40 patients, WM worsened segmentally in eight patients (20

作者：Ruth F, Dubin；Alexis L, Beatty；John R, Teerlink；Nelson B, Schiller；Ann F, Bolger；Dean, Alokozai；Carmen A, Peralta；Kirsten L, Johansen

来源：Hemodialysis international. International Symposium on Home Hemodialysis 2014 年 18卷 2期