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Wiley InterScience

Seminars in Dialysis

Seminars in Dialysis

Volume 20 Issue 5, Pages 383 - 386

Published Online: 29 Jun 2007

© 2009 Wiley Periodicals, Inc.



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Inadequate Treatment of Congestive Heart Failure in Dialysis Patients
Josée Bouchard and François Madore
Department of Medicine, Université de Montréal, and Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada
Address correspondence to: François Madore, MD, Hôpital du Sacré-Coeur de Montréal, 5400 Boulevard, Gouin W, Montreal, QC, Canada H4J 1C5, or e-mail: f.madore@umontreal.ca.
Copyright Journal compilation 2007 Blackwell Publishing

Abstract

AbstractUndertreatment of CHFBarriers to Adequate TreatmentReferences

Congestive heart failure (CHF) is highly prevalent in patients on renal replacement therapy and is a leading cause of death in such patients. Several studies suggest that therapeutic agents for the treatment of CHF, particularly angiotensin converting enzyme inhibitors and beta-blockers, are underused in end-stage renal disease patients with CHF. Although limited data are available, growing evidence suggests that therapeutic agents for CHF improve survival and are safe to use, assuming close monitoring of adverse events. The reluctance of physicians in prescribing these therapeutic agents and the reasons underlying the inconsistent use of these agents in the dialysis population need to be addressed.


DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1525-139X.2007.00313.x About DOI

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