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Abstract 【Objective】To investigate the clinical characteristics and risk factors of heart failure in patients with maintenance dialysis. 【Methods】Five hundred patients receiving maintenance dialysis in our hospital were selected as the study subjects. According to onset of the disease, they were divided into three groups: the diastolic heart failure (DHF) group, systolic heart failure (SHF) group, and normal cardiac function group. The clinical characteristics of the maintenance dialysis complicated with DHF and SHF were analyzed. Univariate and multivariate analyses were performed. 【Results】Of the 500 patients with maintenance dialysis, there were 184 (36.8%) complicated with DHF and 80 (16.0%) with SHF. The odds of hypertension, diabetes, and advanced age (≥70 years old) in the DHF and SHF groups were significantly higher than those in the normal cardiac function group. The incidence of hypertension in DHF group (30.43%,56/184) was significantly higher than that in SHF group (13.75%,11/80) (P<0.05). There were significant differences in age, systolic blood pressure, BNP(Btype natriuretic peptide), and serum uric acid between the DHF group, SHF group, and normal cardiac function group (P<0.05). The systolic blood pressure of the DHF group was higher than that of SHF group, while BNP and blood uric acid were significantly lower than those in SHF group (P<0.05). The multivariate Logistic regression analysis showed that the effects of hypertension and high systolic blood pressure on DHF were more significant, while the effects of high BNP and high blood uric acid on the SHF was more significant. 【Conclusion】There are differences in clinical manifestation and risk factors between maintenance dialysis complicated with DHF and SHF. In the clinic, the treatment plan should be made according to the type of heart failure in patients.
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Received: 18 April 2016
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2016, Vol. 33 
