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Left ventricular mass behaviour in hemodialysis patients during 17 years

Loren Giagio Cavalcante1, Cavalcante Ricardo de Souza1, Ana Claudia Kochi1

  • 1Universidade Estadual Paulista, BR.

Jornal Brasileiro De Nefrologia
|September 24, 2015
PubMed

Insights

Left ventricular hypertrophy significantly decreased in hemodialysis patients over 17 years. This reduction was linked to lower blood pressure and improved hemoglobin levels, offering insights into managing cardiac health in dialysis patients.

Area of Science:

  • Nephrology
  • Cardiology
  • Clinical Medicine

Background:

  • Left ventricular hypertrophy (LVH) is common in dialysis patients, carrying a poor prognosis.
  • The long-term trend of LVH in hemodialysis patients remains unclear.

Purpose of the Study:

  • To evaluate changes in left ventricular hypertrophy over 17 years in a university dialysis center.
  • To identify potential factors influencing these changes.

Main Methods:

  • A retrospective longitudinal study analyzing echocardiographic left ventricular mass.
  • Included 250 hemodialysis patients aged 18+ years over a 17-year period.

Main Results:

  • A progressive reduction in left ventricular mass was observed during the study period.
  • This reduction correlated with decreased blood pressure.
  • Multivariate analysis showed associations between ventricular mass, blood pressure, and hemoglobin levels.

Conclusions:

  • Significant reduction in left ventricular hypertrophy occurred over 17 years in hemodialysis patients.
  • Progressive blood pressure reduction and increased hemoglobin levels were associated with this decline.
Abstract

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