Which condition is a contraindication to exercising during dialysis?

Which condition is a contraindication to exercising during dialysis?

• A. Unstable Angina
• B. Acute infection that has resolved
• C. Well-controlled hypertension
• D. Mild anemia

Answer: (A)

Exercising during dialysis is only contraindicated when there is active, ongoing heart ischemia. Unstable angina means the heart isn’t getting enough blood flow even at rest, and adding exercise increases heart rate and oxygen demand. This can precipitate a myocardial infarction, dangerous arrhythmias, or sudden hemodynamic instability, which is why it’s not safe to exercise in this state. The other situations listed do not pose the same immediate risk during dialysis. If an infection has already resolved, there’s no active infection limiting exercise. Well-controlled hypertension is generally compatible with dialysis exercise with proper monitoring, and mild anemia, while it may cause fatigue, is not by itself a contraindication to exercise during dialysis.

Exercising during dialysis is only contraindicated when there is active, ongoing heart ischemia. Unstable angina means the heart isn’t getting enough blood flow even at rest, and adding exercise increases heart rate and oxygen demand. This can precipitate a myocardial infarction, dangerous arrhythmias, or sudden hemodynamic instability, which is why it’s not safe to exercise in this state.

The other situations listed do not pose the same immediate risk during dialysis. If an infection has already resolved, there’s no active infection limiting exercise. Well-controlled hypertension is generally compatible with dialysis exercise with proper monitoring, and mild anemia, while it may cause fatigue, is not by itself a contraindication to exercise during dialysis.