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Current Vascular Pharmacology

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ISSN (Print): 1570-1611
ISSN (Online): 1875-6212

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Review Article

Assessment and Management of Volume Overload Among Patients on Chronic Dialysis

Author(s): Adrian Covic* and Dimitrie Siriopol

Volume 19, Issue 1, 2021

Published on: 25 February, 2020

Page: [34 - 40] Pages: 7

DOI: 10.2174/1570161118666200225093827

Price: $65

Abstract

Volume overload is the most common complication in end-stage renal disease (ESRD) patients, being directly related to numerous complications including resistant hypertension, cardiac hypertrophy, congestive heart failure or arterial stiffness, among others. Therefore, volume overload is now considered an important risk factor for hard outcomes, like all-cause or cardiovascular mortality.

Relying solely on clinical examination for assessing volume overload in ESRD patients lacks sensitivity and specificity. Numerous efforts have been made to identify new methods that could objectively assess volume status; however, each of them has important limitations. This review aims to discuss the most frequently used methods (biomarkers, inferior vena cava assessment, lung ultrasonography, bioimpedance analysis and blood volume monitoring) and to compare the advantage of each method vs. the overall/ clinical strategy.

Keywords: Dialysis, volume overload, management, lung ultrasonography, bioimpedance, biomarkers.

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Graphical Abstract

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