Cardiovascular disease is the leading cause of the death in patients receiving chronic renal replacement therapy,
Arteriovenous fistulas [AVFs] have superior longevity, lower infection and mortality rates and are associated with lower
cost, and hence have become the vascular access of choice for patients needing dialysis.The aim of this study is to assess
the effect of AVF on cardiac function in patients with fair systolic function in patients with ESRD .This is a prospective
,non-controlled , observational study that will include 20 patients who will been admitted to Heliopolis Hospital with
ESRD and treated with hemodialysis and cardiac function will be assessed by echocardiography preoperative of AVF
creation and 3 months postoperative There was statistically significant difference in diastolic dysfunction grades between
before and after AVF. there is an effect of AVF on cardiac function in patients with fair systolic function in patients with
ESRD as there was statistically significant difference in diastolic dysfunction grades between before and after AVF.