Impact Of High Flow Arteriovenous Fistula In Chronic Hemodialysis Patients On Cardiac Functions
Ahmed, T., Ghareeb, H., Abdelkader, M., Helal, A. (2024). Impact Of High Flow Arteriovenous Fistula In Chronic Hemodialysis Patients On Cardiac Functions. EKB Journal Management System, 13(3), 49-56. doi: 10.21608/fumj.2024.271469.1326
tarek Ibrahim Ahmed; Hytham soliman Ghareeb; Marwa Khalil Abdelkader; Ahmed Mohamed Rashed Helal. "Impact Of High Flow Arteriovenous Fistula In Chronic Hemodialysis Patients On Cardiac Functions". EKB Journal Management System, 13, 3, 2024, 49-56. doi: 10.21608/fumj.2024.271469.1326
Ahmed, T., Ghareeb, H., Abdelkader, M., Helal, A. (2024). 'Impact Of High Flow Arteriovenous Fistula In Chronic Hemodialysis Patients On Cardiac Functions', EKB Journal Management System, 13(3), pp. 49-56. doi: 10.21608/fumj.2024.271469.1326
Ahmed, T., Ghareeb, H., Abdelkader, M., Helal, A. Impact Of High Flow Arteriovenous Fistula In Chronic Hemodialysis Patients On Cardiac Functions. EKB Journal Management System, 2024; 13(3): 49-56. doi: 10.21608/fumj.2024.271469.1326

Impact Of High Flow Arteriovenous Fistula In Chronic Hemodialysis Patients On Cardiac Functions

Fayoum University Medical Journal
Volume 13, Issue 3, April 2024, Page 49-56  XML PDF (420.76 K)
Document Type: Full Length research Papers
DOI: 10.21608/fumj.2024.271469.1326
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Authors
tarek Ibrahim Ahmed1; Hytham soliman Ghareeb2; Marwa Khalil Abdelkader email 3; Ahmed Mohamed Rashed Helal4
1Internal medicine department, Fayoum university, Fayoum, Egypt
2Assistant professor of cardiology Fayoum University
3Internal Medicine department, faculty of medicine Fayoum University, fayoum Egypt
4Internal medicine department faculty of medicine fayoum university , fayoum ,egypt
Abstract
Introduction: High flow access (HFA)is associated with complications like high output heart failure, pulmonary hypertension, massively dilated fistula, dialysis associated steal syndrome or distal hypoperfusion ischemic syndrome (DHIS).
Aim of study: to determine the impact of high flow arteriovenous fistula in chronic hemodialysis patients on cardiac structures and functions.
Subjects and Methods: 59 patients were included in the study divided into two groups: Group A: 43 patients (non-HFA group with Qa < 2000 ml/min), and Group B: 16 patients (HFA group with Qa > 2000 ml/min).
Results: Prevalence of HFA among study population was 27%. Mean AVF Qa was 1039.5±209.5 and 5560.5±3184.1 ml/min, for group A and B respectively. A significantly lower LV ejection fraction [EF] was observed in group B with a mean value of 56.3± 11.4% versus 64.4 ± 3.6%.
Conclusions: High flow arteriovenous fistula (HFA) is a prevalent hemodialysis vascular access problem affecting about 27% of chronic hemodialysis patients. HFA was associated with a significant effect on both systolic and diastolic functions of heart.
Keywords: (High flow access; High output heart failure; Vascular access; Hemodialysis).
Keywords
High flow access; High output heart failure; Vascular access; Hemodialysis
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