Hemodialysis fistulas are a cause of high‐output congestive heart failure (CHF). A case is reviewed of a patient in whom surgical correction of an excessively high fistula flow led to resolution of CHF. Bradycardia induced by fistula occlusion (Nicaladoni‐Branham sign) was not present, but transient occlusion did produce a marked decrease in cardiac output.
- congestive heart failure
- high‐output states