Changes in Volumetric Hemodynamic Parameters Induced by Fluid Removal on Hemodialysis

Changes in Volumetric Hemodynamic Parameters Induced by Fluid Removal on Hemodialysis

Changes in volumetric hemodynamic parameters and fluid overload (Cardiac Index,Stroke Volume, Thoracic Fluid Content, Systemic Vascular Resistance) were measured using a impedance cardiography (ICG) (CardioScreen 1000 - Haemodynamic Measurement System, Medis. GmbH Ilmenau) beginning 15 min prior to midweek dialysis session and continuous measurement thereafter, with a 15-min period after the termination of hemodialysis. Fluid overload were measured by BCM Monitor Fresenius before hemodialysis.

Inclusion Criteria:

• give voluntary consent to participate in the study
• patients on maintenance hemodialysis at least 3 months
• stable dry weight
• single-pool Kt/V >1.4
• no clinical cardiovascular disease during the 6 months preceding entry

Exclusion Criteria:

• not meet the above criteria
• episode of illness (for example: infection)
• pregnancy