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?

Proceed with coronary angiogram and dialysis after the procedure.

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 ...