Thursday, January 17, 2013

Why Patients on Peritoneal Dialysis Have Angina


Angina can be found among people on peritoneal dialysis. In severe case, it can cause acute myocadial infarction and sudden death. Therefore, it is very important for the patients to avoid it during dialysis.

Why patients on peritoneal dialysis have angina?

△ If too much fluid is filtered out of body, it will cause insufficient blood volume. If the heart can not get sufficient blood supply, it is very likely to cause heart problem.

△ Renal Failure is usually complicated with hyperlipemia. If the fat accumulates in coronary artery, it will cause the coronary artery to contract thus reducing blood supply to heart. If the heart can not get sufficient blood supply, it is very likely to cause angina.

△ Hyperparathyroidism is also a common cause of angina for patients on peritoneal dialysis. Increased secretion of PTH can elevate the calcium level and reduce phosphorus level in blood. Hypercalcinemia can cause much calcium to deposit in cardiac interstitial, which can damage the cardiac cells thus resulting in arrhythmia.

How to avoid angina during peritoneal dialysis?

△ The dialysis should be conducted properly and control the fluid amount that will be filtered out strictly.

△ The patients should avoid eating too much fatty foods which can elevate the blood fat level thus increasing the risk of developing heart problem.

△ Quit smoking and drinking.

△ Hyperparathyroidism is attributable to high level of phosphorus in blood. Therefore, the patients should avoid eating foods high in phosphorus such as banana, oranges etc.

All in all, the angina and other diseases are caused by reduced kidney function. Therefore, to avoid them, what the patients should do is to improve their renal function.

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