Zabicka H
Klinika Nefrologiczna Instytutu Medycyny Wewnetrznej Akademii Medycznej w łodzi.
Postepy Hig Med Dosw. 1996;50(3):277-91.
The arterial hypertension, hyperlipidemia, fluid overload, electrolytic disorders, the presence of arteriovenous fistula and secondary hyperparathyroidism are the most essential causative factors in cardiac pathology of uremic patients. Apart from that, hemodialysis itself is not an indifferent factor. The cardiac consequences consist in prevalence of hypertrophy or dilatation of the heart including valvular annuli or sheer myocardial calcifications and even the acquired heart diseases. Their coexistence with ischaemic heart disease, systolic and especially diastolic dysfunction of the left ventricle may jeopardize life.
动脉高血压、高脂血症、液体超负荷、电解质紊乱、动静脉瘘的存在以及继发性甲状旁腺功能亢进是尿毒症患者心脏病变最重要的致病因素。除此之外，血液透析本身也并非无关紧要的因素。心脏方面的后果包括心脏肥大或扩张的普遍存在，包括瓣膜环或单纯的心肌钙化，甚至还包括获得性心脏病。它们与缺血性心脏病、左心室收缩功能尤其是舒张功能障碍并存可能危及生命。
