Detection and treatment of high‐output cardiac failure resulting from a large hemodialysis fistula

1988; Wiley; Volume: 14; Issue: 4 Linguagem: Inglês

10.1002/ccd.1810140409

ISSN

1097-0304

Autores

Gregg J. Reis, Alan T. Hirsch, Patricia C. Come,

Tópico(s)

Cardiac pacing and defibrillation studies

Resumo

Abstract Hemodialysis fistulas are a cause of high‐output congestive heart failure (CHF). A case is reviewed of a patient in whom surgical correction of an excessively high fistula flow led to resolution of CHF. Bradycardia induced by fistula occlusion (Nicaladoni‐Branham sign) was not present, but transient occlusion did produce a marked decrease in cardiac output.

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