SAGE Publications, The Journal of Vascular Access, 1(19), p. 3-11, 2018
DOI: 10.5301/jva.5000815
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Cardiovascular complications are responsible not only for the high mortality, but also the morbidity of end-stage renal disease patients. Cyclic changes of fluid load, together with the altered metabolism, are responsible and are mirrored in many particular parts of the heart. A review of the mechanisms involved is presented and the role of dialysis access is highlighted.