Running on the Empty: hemodialysis patients with fluid overload, low blood pressure, and intractable congestive heart failure

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Awad El-Magbri Shaukat Rashid Balhinder Brar


The authors presented a case of congestive heart failure in a patient with end-stage renal disease on hemodialysis. The patient has low blood pressure and fluid overload making removal of the fluid by hemodialysis challenging task. The authors put a theory forward for discrepancies in the pressure between the two sides of the heart and propose a surgical procedure “septetomy of the inter-atrial septum” that might resolve the issue of hypotension on dialysis patients with fluid overload.

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EL-MAGBRI, Awad; RASHID, Shaukat; BRAR, Balhinder. Running on the Empty: hemodialysis patients with fluid overload, low blood pressure, and intractable congestive heart failure. Medical Research Archives, [S.l.], v. 6, n. 3, mar. 2018. ISSN 2375-1924. Available at: <>. Date accessed: 21 apr. 2018. doi:
Research Articles


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