Which dialysis modality is better for the heart?

Abstract

Patients with chronic kidney disease (CKD) havean increased risk of cardiovascular morbidity andmortality.[1,2] Traditional risk factors, such as diabetesmellitus, hypertension, and dyslipidemia are morecommon in patients with CKD than in the generalpopulation.[3–5] Non-traditional risk factors, such asmalnutrition, inflammation, oxidative stress, hyperphosphatemia,anemia, and volume overload are common,and are associated with increased cardiovascularrisk in CKD patients.[6] Moreover, this risk increasessignificantly as the patients approach end-stage renaldisease (ESRD).[7] As a result, cardiovascular problemsare a major cause of death in patients undergoingdialysis.