[Disorders of diastolic function in patients on hemodialysis]
S Nuhbegovic1, A Halibasic, F Ljuca
1Zavod za fiziologiju Medicinskog fakulteta u Tuzli.
Insights
Patients on maintenance haemodialysis often have impaired cardiac function. This study found significant left ventricular diastolic dysfunction in 77.5% of haemodialysis patients compared to healthy controls.
Area of Science:
- Cardiology
- Nephrology
- Echocardiography
Background:
- Cardiac dysfunction is common in patients undergoing maintenance haemodialysis.
- Left ventricular diastolic function is a critical aspect of cardiac health.
Purpose of the Study:
- To evaluate left ventricular diastolic function in patients receiving maintenance haemodialysis.
- To compare diastolic function between haemodialysis patients and healthy individuals.
Main Methods:
- Utilized 2D and pulsed wave Doppler echocardiography.
- Assessed diastolic function in 40 patients on maintenance haemodialysis.
- Included a control group of healthy individuals for comparison.
Main Results:
- Significant alterations in Doppler parameters were observed in haemodialysis patients.
- Diastolic dysfunction was identified in 77.5% of the haemodialysis group.
- Haemodialysis patients exhibited increased peak late diastolic filling velocity (A wave) and reduced E/A ratio compared to controls.
Conclusions:
- Maintenance haemodialysis is associated with significant impairment of left ventricular diastolic function.
- Doppler echocardiography effectively identified diastolic dysfunction in this patient population.
Introduction:
Impaired cardiac function is frequently present in patients on maintenance haemodialysis.
Aim:
To assess the left ventricular diastolic function in patients on haemodialysis.
Material And Methods:
We used 2D and pulsed wave Doppler echocardiography to evaluate the left ventricular diastolic function in 40 patients on haemodialysis and compared those to healthy controls.
Results:
Majority of Doppler parameters were changed in patients on haemodialysis. Diastolic dysfunction was present in 77.5% patients. In comparison to the healthy controls haemodialysis patients showed significant increase in peak velocity of late diastolic filling, (A wave, 76.82 +/- 23.76 cm/s vs. 58.46 +/- 9.65 cm/s p < 0.001) and reduction in the E/A ratio (1.00 +/- 0.26 vs. 1.26 +/- 0.31 p < 0.001).
Conclusion:
There was significant impairment in left ventricular diastolic function in patients on haemodialysis.
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