Abstract

Cardiovascular disease (CD) is the most common cause of death in all dialysis patients. We studied 104 stable elderly (≥ 65 years) hemodialysis patients to determine the prevalence of cardiovascular disease as evidenced by congestive heart failure or symptomatic coronary artery disease, by race and by coincidence of diabetes and to assess the impact of cardiovascular morbidity on physical activity. CD was judged to be present if a patient had clinical and laboratory confirmed congestive heart failure or coronary artery disease. Physical activity assessed by a modified Karnofsky scale was compared in subjects with and without CD. We inventoried co-morbid conditions and compared the extent of co-morbidity in elderly patients with and without CD. We determined the effect of advancing age and increasing duration of ESRD on the prevalence of CD.

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