Effect of the arteriovenous access for hemodialysis on subendocardial viability ratio, pulse pressure and hospitalizations.

CONCLUSION: To our best knowledge, this report indicates, for the first time, that despite the decrease in PP parameters, the creation of a vascular access for hemodialysis was also associated with a reduction of SEVR which predicted a worse clinical outcome. We argue that the decrease of pulse pressure after arteriovenous construction may reflect a new hemodynamic set-point after vascular access creation and may not indicate a protective cardiovascular effect.
PMID: 24599828 [PubMed - as supplied by publisher] (Source: Journal of Nephrology)