Late for regular dialysis, woman suffers heart damage

Ho Chi Minh City Missing her dialysis appointment by just one day, a 54-year-old woman was hospitalized in critical condition. Doctors diagnosed her with respiratory failure due to acute pulmonary edema and myocardial damage.

The patient has end-stage chronic kidney failure with hypertension, type 2 diabetes, and dyslipidemia, and is currently undergoing dialysis 3 times a week. On March 20, she was scheduled for dialysis but was busy attending a wedding so she postponed the appointment for a day. 30 minutes after the party, she had difficulty breathing, had a headache, and had abdominal distension, and was taken to Xuyen A General Hospital for emergency treatment.

The patient's Glasgow Coma Scale score was 6 at that time, cardiac arrest was successfully resuscitated. Test results and X-rays diagnosed acute respiratory failure due to acute pulmonary edema, myocardial damage, the doctor determined due to not having dialysis on schedule.

The doctors consulted, placed an endotracheal tube, performed cardiopulmonary resuscitation, used high doses of vasopressors and specialized medications, and filtered the patient's blood to remove toxins. After 4 hours, the patient's health gradually improved. She opened her eyes, understood medical orders, breathed smoothly, and had stable blood pressure, so she was taken off the ventilator and continued with regular dialysis treatment.

The patient received dialysis and his health was stable. Photo: Provided by the hospital

Master, Doctor Vu Le Anh, Head of the Department of Nephrology, recommends that patients with end-stage chronic kidney disease need to adhere to dialysis on time and on schedule. If they skip dialysis, patients are at risk of fluid overload leading to high blood pressure, vomiting, fatigue; excess water causing pulmonary edema; hyperkalemia affecting heart rate, cardiac arrest...

Patients need to follow a low-salt diet, limit foods and drinks high in potassium. Take medication as prescribed and control underlying medical conditions well.

Chronic kidney disease is a disease that often progresses silently and without symptoms. Therefore, it is important to detect the disease early. The three high-risk groups are people with diabetes, people with high blood pressure, and people with a family history of kidney disease. They need to have annual health screenings for early detection and timely treatment.

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