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Nephrology Dialysis Transplantation 2004 19(12):2959-2960; doi:10.1093/ndt/gfh516
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Nephrol Dial Transplant Vol. 19 No. 12 © ERA-EDTA 2004; all rights reserved

Editorial Comment

Don't forget the defibrillator in the dialysis unit

Charles A. Herzog

Cardiovascular Special Studies Center, United States Renal Data System and University of Minnesota, Minneapolis, MN, USA

Correspondence and offprint requests to: C. A. Herzog, MD, 914 South 8th Street, Suite D-206, Minneapolis, MN 55404, USA. Email: cherzog@usrds.org

Keywords: dialysis; kidney; death

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Dialysis patients are a group at extraordinarily high risk for mortality. The death rate for prevalent US dialysis patients in 1999–2001 was 235 deaths/1000 patient-years [1]. Cardiac disease is the major cause of death, accounting for 43% of all-cause mortality [1]. Dialysis patients have poor long-term survival after acute myocardial infarction, with a 2 year mortality of 74%, which is essentially unchanged over the past two decades [2,3]. Approximately 20% of cardiac deaths in US dialysis patients are attributed to acute myocardial infarction [1]. The single largest cause of death in dialysis patients, however, is potentially ascribable to arrhythmic mechanisms as 61% of cardiac . . . [Full Text of this Article]


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