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- Title
LEFT VENTRICULAR MASS INDEX AMONG ISCHEMIC CONGESTIVE HEART FAILURE PATIENTS AND RENAL DYSFUNCTION.
- Authors
Năstase-Melicovici, D.; Macarie, C.; Coman, Simona; Tilinca, Mariana
- Abstract
The purpose of our study was to determine left ventricular mass index with transthoracic echocardiography in patients with congestive heart failure, in stages (ussual upper) when renal dysfunction was or not asociated. Materials and Methods: we consider renal dysfunction when rate of glomerular filtration <60 ml/min.Glomerular filtation rate was measured in 47 patients with ischemic heart failure and an ejection fraction <40%. For each patient we registered clinical examination, laboratory tests (serum hemoglobin, creatinin, potassium and albumin), echocardiogram and echocardiography (left ventricular ejection fraction (EF), LV mass, and LV mass index), body mass index (BMI) and total body water (TBW). Results: number of patients with RD was 21 representing a prevalence of 44,68%. There was a greater prevalence for elder subjects. These patients has lower level of hemoglobin and serum albumin but potasium, serum creatinine levels , body mass index (BMI) and total body water (TBW) were higher. Left ventricular mass determined by echocardiography was greater in patients with RD (p= 0.06). Comparison of their drug therapy revealed significant statisticaly diferences only for use of beta blockers and amiodarone. Conclusions: Renal dysfunction is a frequent and seems inevitable asociation in patients with congestive heart failure with ejection fraction of left ventricle under 40 percentage, and is associated with distinctive features that may explain some major undesirable clinical aspects. Patients with CHF and renal dysfunction has left ventricular mass increased.
- Subjects
CONGESTIVE heart failure; HEART failure; CORONARY disease; DIAGNOSIS; KIDNEY disease diagnosis; KIDNEY function tests; ECHOCARDIOGRAPHY; PATIENTS
- Publication
Annals of the Romanian Society for Cell Biology, 2012, Vol 17, Issue 2, p167
- ISSN
2067-3019
- Publication type
Article