High-output heart failure from AV fistula
Background
- High-output heart failure that occurs when >20% of cardiac output is diverted through the dialysis access
Clinical Features
- Branham sign (drop in HR after temporary access occlusion) is diagnostic
Workup
- Doppler ultrasound can accurately measure access flow rate and establish the diagnosis
Management
- Surgical banding of the access
Disposition
- Admit
See Also
References
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