Inevitable accidents during physical training in chronic hemodialysis patients

Inevitable accidents during physical training over on 11-year period were investigated in 111 chronic hemodialysis (HD) patients, and these data were compared with those for coronary heart disease (CHD) patients. Exercise-induced hypotension was the most frequent accident (1.72%) in HD patients, the frequency being about 5.4 times higher than that in CHD patients. However, cardiac arrest or serious ventricular arrhythmia was not found in HD patients. Only chest pain was recognized with high frequency in CHD patients, whereas various symptoms were recognized with high frequency in HD patients. According to these results, the authors conclude that effective countermeasures to exercise-induced hypotension should be developed for use during physical training in HD patients.