How would you approach the timing of hemodialysis for an ESKD patient with no urgent indications who has NSTEMI with a troponin level of 10 ng/dl, has not had dialysis in 2 days, and is planned for left heart catheterization the next day?
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How would you approach the timing of HD for an ESKD patient with mild hypervolemia but no urgent indications, who has NSTEMI with a troponin level of 10 ng/dl, has not had dialysis in 2 days, and is planned for left heart catheterization the next day?
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2 Answers
Mednet MemberInvited Expert
Nephrology · NYU Grossman Long Island School of Medicine
Answered on
Proceed with coronary angiogram and dialysis after the procedure.
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Mednet MemberInvited Expert
Cardiology · University of Central Florida College of Medicine
Answered on
If the patient is mildly hypovolemic without evidence of respiratory insufficiency, hyperkalemia, or significant acidosis, then proceeding to cath and following with dialysis is reasonable. The other question is to ask, is cardiac catheterization is necessary, and is this a type 1 MI versus chronic ...
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