Detection and treatment of high-output cardiac failure resulting from a large hemodialysis fistula

✍ Scribed by Reis, Gregg J. ;Hirsch, Alan T. ;Come, Patricia C.

• Publisher: John Wiley and Sons
• Year: 1988
• Tongue: English
• Weight: 279 KB
• Volume: 14
• Category: Article
• ISSN: 0098-6569
• DOI: 10.1002/ccd.1810140409

✦ Synopsis

Hemodialysis fistulas are a cause of high-output congestive heart failure (CHF). A case is reviewed of a patient in whom surgical correction of an excessively high fistula flow led to resolution of CHF. Bradycardia induced by fistula occlusion (NicaladonCEranham sign) was not present, but transient occlusion did produce a marked decrease in cardiac output.