Which of the following is true about complications of hemodialysis?
Correct Answer: Cardiovascular complications
Description: Ans. (b) Cardiovascular complications* Hypotension is the most common acute complication of hemodialysis.* Numerous factors appear to increase the risk of hypotension, including excessive ultrafiltration with inadequate compensatory vascular filling, impaired vasoactive or autonomic responses, osmolar shifts.* A beta 2 amyloid deposition is seen in dialysis dementia and thus rules out choice A* Metabolic acidosis is treated with dialysis and thus rules out choice D.* Cardiovascular disease constitutes the major cause of death in patients with ESRD.* Cardiovascular mortality and event rates are higher in dialysis patients than in patients post-transplantation, although rates are extraordinarily high in both populations.
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