Cardiovascular disease in haemodialysis and peritoneal dialysis: arguments pro haemodialysis

Abstract

In end-stage renal disease (ESRD) patients, congestive heart failure (CHF) is a dreadful complication. Its pathogenesis is multifactorial. Chronic arterial hypertension, uraemic cardiomyopathy, coronary artery disease (CAD) and valvular disease all lead to myocardial damage that may eventually result in CHF. Other more or less well-proven contributory factors are chronic volume overload, anaemia, metabolic acidosis, secondary hyperparathyroidism, the malnutrition-inflammation complex syndrome and the haemodialysis (HD) arterio-venous fistula (AVF).