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Nội dung text 1.4. Nguyễn Khắc Long.pdf

KIỂM SOÁT HUYẾT ÁP VÀ CÁC VẤN ĐỀ LIÊN QUAN TRONG LỌC MÁU BLOOD PRESSURE CONTROL AND RELATED FACTORS IN DIALYSIS Nguyen Khac Long M.D Bach mai Hospital THÔNG ĐỘNG TĨNH MẠCH CHO LỌC MÁU: TỪ LÝ THUYẾT ĐẾN THỰC HÀNH Effects of AVF on Cardiac function and HTN: From theory to clinical practice
_October 18th 2024 ➢ Cardiac complications of arteriovenous fistulas: congestive heart failure, left ventricular hypertrophy, pulmonary hypertension, right ventricular dysfunction, coronary artery disease and valvular heart disease ➢ Cardio Modeling after AVF creation: Minor LV remodeling followed by significant RV remodeling and HF morbidity and mortality ➢ The pathophysiology of hypertension in patients treated with maintenance hemodialysis is multifactorial: volume overload, arterial stiffness, enhanced activity of the sympathetic nervous and renin-angiotensin-aldosterone systems, endothelial dysfunction, and use of erythropoietin-stimulating agents. ➢ Creation of AVF significantly decreases blood pressure in patients with end‐stage renal disease ➢ K/DOQI Clinical Practice Guidelinesfor Cardiovascular Disease in Dialysis Patients
_October 18th 2024 ➢ Cardiac complications of arteriovenous fistulas: • congestive heart failure • left ventricular hypertrophy • pulmonary hypertension • right ventricular dysfunction • coronary artery disease and valvular heart disease
_October 18th 2024 ➢ Cardio Modeling after AVF creation: ✓ Minor LV remodeling followed by significant RV remodeling and HF morbidity and mortality ✓ Reverse remodeling can occur with: Treament of underlining disease, Modification of AVF, Remal transplan and Fistula ligation

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