Author(s): MacRae JM, Pandeya S, Humen DP, Krivitski N, Lindsay RM
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Abstract High-output cardiac failure can be a rare complication of high-output arteriovenous fistula. The authors present a case in which a hemodialysis patient with a high-flow arteriovenous fistula has cardiac failure that improves with fistula closure. The hemodynamic effects of a fistula are reviewed, and the hemodialysis literature regarding high-output cardiac failure is summarized. To gain insight into the problem of high-output cardiac failure, research efforts should focus on the prospective monitoring of high-access flows.
This article was published in Am J Kidney Dis
and referenced in Journal of Clinical Case Reports