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Recovery time is associated with the onset of cardiovascular disease in Japanese patients undergoing maintenance hemodialysis.

Clin Exp Nephrol

October 2024

Department of Cardiology, Pulmonology, and Nephrology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.

Introduction: Cardiovascular disease (CVD) is the leading cause of mortality in patients undergoing maintenance hemodialysis (HD), with various reported risk factors. Recovery time (RT) is a valuable indicator of post-dialysis fatigue. However, the association between RT and the onset of CVD remains unexplored.

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Article Synopsis
  • The study aimed to compare how warm (37°C) and cold (36°C) dialysate solutions affect post-dialysis fatigue in patients on maintenance haemodialysis.
  • Conducted at a military hospital in Pakistan, the research involved 92 patients and measured fatigue duration and blood pressure during two different temperature phases.
  • Results indicated that the colder dialysate (36°C) led to less frequent and shorter fatigue episodes post-dialysis compared to the warmer solution (37°C).
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Background Hemodialysis is a chronic replacement therapy recommended during end-stage renal disease (ESRD) in chronic kidney disease (CKD). Post-dialysis fatigue (PDF) is one of the symptoms patients experience after the treatment. This multifactorial condition is subjective and characterized by a lack of physical and emotional energy.

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Objective: To assess whether performing exercises during hemodialysis reduces the risk of developing intradialytic hypotension and enhances exercise capacity in patients with chronic kidney disease.

Methods: This study included patients aged ≥18 years undergoing hemodialysis. Participants performed exercises using a portable lower extremity ergometer during hemodialysis sessions for 3 weeks.

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Introduction: Fatigue is reportedly associated with a poor prognosis in dialysis patients. The aim of the present study was to investigate whether fatigue on dialysis days or non-dialysis days is associated with mortality in patients on chronic hemodialysis.

Methods: This was a prospective study of 134 hemodialysis patients.

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