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Blood pressure control and left ventricular hypertrophy in long-term CAPD and hemodialysis patients: a

Ali Ihsan Günal1, Erdogan Ilkay, Ercan Kirciman

  • 1Department of Nephrology, Firat University Medical School, Elazig, Turkey. igunal@yahoo.com

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|January 2, 2004
PubMed

Insights

Hypertension and left ventricular hypertrophy (LVH) are similar in continuous ambulatory peritoneal dialysis (CAPD) and hemodialysis (HD) patients. Strict volume and blood pressure control are key to achieving comparable cardiac outcomes in both dialysis modalities.

Area of Science:

  • Nephrology
  • Cardiology
  • Internal Medicine

Background:

  • The prevalence of hypertension and left ventricular hypertrophy (LVH) in patients undergoing continuous ambulatory peritoneal dialysis (CAPD) versus hemodialysis (HD) remains unclear.
  • Assessing cardiac structure and function differences between dialysis modalities is crucial for patient management.

Purpose of the Study:

  • To compare cardiac performance indices between patients on CAPD and HD.
  • To investigate the long-term effects of dialysis modality on cardiac parameters.

Main Methods:

  • Compared cardiac performance in 50 HD patients and 34 CAPD patients.
  • Subdivided patients into long-term (over 60 months) HD and CAPD groups for further analysis.
  • Evaluated parameters including blood pressure, cardiothoracic index, left atrial index, left ventricular chamber size, wall thickness, left ventricular mass index (LVMI), and isovolumic relaxation time (IVRT).

Main Results:

  • No significant differences in blood pressure or cardiothoracic index were observed between CAPD and HD patients.
  • Left ventricular mass index (LVMI) and chamber dimensions were similar in both groups.
  • No significant differences in cardiac structure or function were found between long-term HD and CAPD subgroups.

Conclusions:

  • Continuous ambulatory peritoneal dialysis (CAPD) and hemodialysis (HD) have comparable effects on cardiac structure and function.
  • Achieving normovolemia and normotension through strict volume control is essential for similar cardiac outcomes.
  • Antihypertensive drug use may influence observed differences, highlighting the importance of volume management.
Abstract

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