Heart Failure in Dialysis Patients

Prevalence and Incidence

The Kidney International reports that approximately 31% of patients have heart failure at dialysis initiation and an additional 25% develop it during their course on dialysis, making it one of the most prevalent cardiovascular complications in this population 1
Among the cardiovascular diseases present in dialysis patients, heart failure ranks as the second most common condition with a prevalence of 14.51% in the overall dialysis population based on recent 2017 data from China 1
Coronary heart disease is more prevalent at 37.26%, but heart failure follows closely as a major cardiovascular complication 1
The overall prevalence of cardiovascular disease in dialysis patients is 43.01%, creating a high-risk population for heart failure development 1, 3

Cardiovascular disease accounts for at least 40% of deaths in end-stage renal failure patients, with heart failure being a major contributor 2
Left ventricular hypertrophy is present in almost 80% of dialysis patients, serving as a substrate for both systolic and diastolic dysfunction 2
Cardiovascular disease is the most frequent cause for hospitalizations among hemodialysis patients (33.68%), with heart failure representing a substantial portion of these admissions 1