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- Title
Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease.
- Authors
Alpsoy, Şeref; Akyüz, Aydın; Oran, Mustafa; Yaman, Reşit; Çayan Akkoyun, Dursun; Topçu, Birol; Değirmenci, Hasan
- Abstract
Background: It is known that patients with chronic renal failure are at increased risk for morbidity and mortality. We aimed to assess the effects of hemodialysis on certain parameters used to evaluate left and right ventricular systolic and diastolic functions using conventional and tissue Doppler echocardiography in patients with end-stage renal insufficiency. Methods: In this prospective observational study, 41 uremic patients were evaluated via echocardiography before and 60 minutes after hemodialysis. Systolic and diastolic functions of left ventricle (LV) and right ventricle (RV) were measured by two dimensional, M-Mode, conventional and tissue Doppler echocardiography. Results: While a significant increase was observed in the mean heart rate after hemodialysis, the mean body weight, systolic and diastolic blood pressure values were significantly decreased (all p values< 0.01). Compared to before hemodialysis, mitral E/ mitral annulus septal E' and mitral E/ mitral annulus lateral E' did not change (p= 0.105 and p= 0.165), but significant alterations were determined in many of M-Mode, conventional and other tissue Doppler echocardiographic parameters after hemodialysis (all p values< 0.05 and < 0.01). Conclusions: Mitral E/ septal E' and mitral E/ lateral E' did not change following hemodialysis and therefore are the best parameters to use to assess diastolic function in hemodialysis patients. Since the other conventional and traditional Doppler parameters vary with hemodialysis, these are not accurate measurements in these patients.
- Subjects
CHRONIC kidney failure; DOPPLER echocardiography; HEART function tests; HEMODIALYSIS; LONGITUDINAL method; SCIENTIFIC observation; STATISTICS; T-test (Statistics); DATA analysis; DATA analysis software
- Publication
Journal of Harran University Medical Faculty / Harran Üniversitesi Tıp Fakültesi Dergisi, 2013, Vol 10, Issue 3, p114
- ISSN
1304-9623
- Publication type
Article