Left atrial (LA) function is crucial for heart performance, particularly in individuals undergoing hemodialysis (HD), but how it changes during HD is not well-studied.
A trial involving 56 HD patients examined the impact of a 30-minute aerobic exercise session (intradialytic exercise, IDE) during HD, revealing that IDE significantly prevented the decline in LA function.
While IDE showed positive effects on LA and left ventricular function, these benefits diminished in patients with enlarged LA, indicating a need for further research into long-term IDE effects.
Hemodialysis (HD) can cause acute dysfunction in the left ventricle (LV), leading to myocardial stunning due to inadequate blood flow, and exercise during dialysis may help stabilize hemodynamics and blood pressure.*
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A study involving 60 patients with end-stage kidney disease (ESKD) revealed that acute intradialytic exercise (IDE) significantly improved LV function, beyond just changes in cardiac loading conditions.*
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These results suggest that incorporating IDE into regular HD procedures could reduce the risk of heart failure and other cardiac issues in ESKD patients.*