Direct vs. indirect: Kidney failure can weaken the heart muscle (uremic cardiomyopathy), but this is pretty rare. A more common problem is fluid accumulation around the heart (pericardial efffusion), which can literally choke the heart (tamponade) but improves with extra dialysis. Or, more likely, the conditions that caused the kidney disease (commonly hypertension and/or diabetes) also are causing heart problems.
Answered 12/8/2019
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