RESUMEN
Background: endotoxemia can be the missing link between ESRD and cardiac disease, the first cause of death in hemodialysis patients
Patients and methods: patients were recruited from Ain Shams University Hospitals, hemodialysis units. 120 patients on prevalent HD were enrolled in the study: 31 cardiac patients on high flux HD [group A], 29 cardiac patients on low flux HD [group B], 32 non-cardiac high flux HD [group C], and 28 non cardiac low flux HD [group D] . For all patients we measured: Hb, URR, serum albumin, HsCRP, predialysis and postdialysisa endotoxin, endotoxin delta change, echocardiography, and ECG
Results: we found that cardiac high flux and low flux groups had higher endotoxemia levels than non cardiac high flux and low flux groups
Conclusion: High flux hemodialysis patients had higher accumulated endotoxin than low flux hemodialysis patients, within either cardiac or non - cardiac groups