Transplantation for dialysis patients

Abstract

This chapter describes issues related to dialysis for patients undergoing renal transplantation including the assessment of patients prior to transplant, pre-transplant management, aspects of the transplant operation itself and the management of dialysis around this, management of patients acutely after a transplant, and dialysis in patient with delayed graft function

The Effect of Hemodialysis on Cardiac Enzyme Levels and Echocardiographic Parameters

“…Besides conventional risk factors, those related to end-stage renal disease (ESRD), including increased plasma volume, hemodynamic overload due to arteriovenous fistula, anemia, disorders of calcium-phosphate metabolism, electrolyte imbalances, chronic inflammation, increased catabolism, increased homocysteine levels, increased lipoprotein (a) levels, oxidative stress, and uremia can also be seen in patients on hemodialysis (2). It has also been suggested that hemodialysis or peritoneal dialysis itself may pose a risk (3). Cardiac troponins which are indicative of cardiac muscle damage resulting from the abovementioned risk factors are specific and sensitive markers for the heart (4).…”