Which of the following is true about complications of hemodialysis?: (A) A beta-amyloid deposition, (B) Cardiovascular complications, (C) Renal rickets, (D) Metabolic acidosis
Answer is B. Ans. (b) Cardiovascular complications* Hypotension is the most common acute complication of hemodialysis.* Numerous factors appear to increase the risk of hypotension, including excessive ultrafiltration with inadequate compensatory vascular filling, impaired vasoactive or autonomic responses, osmolar shifts.* A beta 2 amyloid deposition is seen in dialysis dementia and thus rules out choice A* Metabolic acidosis is treated with dialysis and thus rules out choice D.* Cardiovascular disease constitutes the major cause of death in patients with ESRD.* Cardiovascular mortality and event rates are higher in dialysis patients than in patients post-transplantation, although rates are extraordinarily high in both populations.