Author/Authors :
Kadiri, Moncef El M’barki Military Hospital Mohammed V - Department of Nephrology, Dialysis and Transplantation, Morocco , Nechba, Rhita Bennis Idrissi Hospital - Critical Care Unit, Morocco , Zajjari, Yasse R. Military Hospital Mohammed V - Department of Nephrology, Dialysis and Transplantation, Morocco , Kabbaj, Driss Military Hospital Mohammed V - Department of Nephrology, Dialysis and Kidney Transplantation, Morocco , Bouzerda, Majid Military Hospital Mohammed V - Department of Cardiology, Morocco , Oualim, Zouhir Military Hospital Mohammed V - Department of Nephrology, Dialysis and Renal Transplantation, Morocco
Abstract :
Cardiovascular complications are the leading cause of mortality and morbidity in hemodialysis (HD) patients accounting for 43% of all cause mortality, and the frequency of sudden cardiac death is almost 50% higher after long dialysis intervals. Left ventricular hypertrophy (LVH), a strong independent predictor of cardiovascular mortality, is potentially preventable and reversible. Hypertension is the main cause for the development of LVH, but other potentially reversible factors such as anemia, volume overload, secondary hyperparathyroidism, uremia, dose of dialysis, and malnutrition may have an important role in its pathogenesis.