Cardiac Imaging in Dialysis Patients

Jeff Kott; Nathaniel Reichek; Javed Butler; Leonard Arbeit; Sandeep K Mallipattu

doi:10.1016/j.xkme.2020.05.010

Cardiac Imaging in Dialysis Patients

Kidney Med. 2020 Jul 31;2(5):629-638. doi: 10.1016/j.xkme.2020.05.010. eCollection 2020 Sep-Oct.

Authors

Jeff Kott¹, Nathaniel Reichek^{2

3

4}, Javed Butler⁵, Leonard Arbeit¹, Sandeep K Mallipattu^{1

6}

Affiliations

¹ Division of Nephrology, Department of Medicine, Stony Brook University, Stony Brook, NY.
² Cardiac Imaging Program and Research Department, St. Francis Hospital-The Heart Center, Roslyn, NY.
³ Division of Cardiology, Department of Medicine, Stony Brook University, Stony Brook, NY.
⁴ Department of Biomedical Engineering, School of Engineering and Applied Mathematics, Stony Brook University, Stony Brook, NY.
⁵ Department of Medicine, University of Mississippi Medical Center, Jackson, MS.
⁶ Renal Section, Northport VA Medical Center, Northport, NY.

Abstract

There is a well-established yet unexplained high prevalence of cardiovascular morbidity and mortality in individuals with end-stage kidney disease receiving dialysis. Potential causes include changes in cardiac structure and function, with increased left ventricular mass index as the best established cardiac structural change associated with this increase in mortality. However, in recent years, new echocardiographic and cardiac magnetic resonance imaging techniques have emerged that may provide novel markers that may better explain the mechanisms underlying the cardiovascular morbidity and mortality observed in end-stage kidney disease. This review outlines advances in cardiac imaging and the current status of imaging modalities, including echocardiography, cardiac magnetic resonance imaging, and cardiac positron emission tomography, to identify dialysis patients at high risk for cardiovascular mortality.

Keywords: ESKD; Echocardiography; MRI; imaging; kidney disease.

Publication types

Review