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Chest, Vol 92, 1117-1118, Copyright © 1987 by American College of Chest Physicians

ARTICLES

Progressive heart failure secondary to a high output state

CW Ingram, LF Satler and CE Rackley
Department of Medicine, Georgetown University Hospital, Washington, DC 20007.

A high cardiac output state has been an infrequent but previously reversible cause of heart failure in patients with hemodialysis fistulas. A patient with two proximal upper extremity fistulas was found to have progressive depression in his left ventricular function and a high output state. His symptoms did not respond to the removal of the most prominent fistula, suggesting that chronic volume overload from the high output state may irreversibly depress left ventricular function.


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T. Nara, D. Yoshikawa, S. Saito, Y. Kadoi, T. Morita, and F. Goto
Perioperative management of biventricular failure after closure of a long-standing massive arteriovenous fistula : [Le traitement perioperatoire d'une defaillance biventriculaire suivant la fermeture d'une ancienne fistule arterio-veineuse massive.]
Can J Anesth, June 1, 2001; 48(6): 588 - 591.
[Abstract] [Full Text]


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Copyright © 1987 by the American College of Chest Physicians.