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在维护血液透析患者中,右心室尺寸,功能和肺循环负荷的变化根据透析间体重增加的程度

Vasileios Anastasiou¹, Marieta P Theodorakopoulou², Vasileios Kamperidis¹

¹First Department of Cardiology, AHEPA Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy

|May 1, 2024

概括

过度增加液体的血液透析患者显示右心室缩压 (RVSP) 升高,表明肺部过载. 这强调了管理透析间体重增加 (IDWG%) 对透析患者心血管健康的重要性.

科学领域:

心脏病学心脏病学
腎臟病學 (nephrology) 是一種醫學專業.
医疗成像医学成像

背景情况:

血液透析期间的液体积累是一个常见的问题.
对干重量 (IDWG%) 进行校正的透析间体重增加是流体状况的关键指标.
右心室 (RV) 功能可能会受到流体过载的影响.

研究的目的:

为了调查回声心电图右心室 (RV) 指数的变化.
将这些变化与液体积累程度 (IDWG%) 相关联.
评估超过推的IDWG%值对RV血液动力学的影响.

主要方法:

对41名维持血液透析患者的数据进行了后期分析.
患者分为较高 (>4.5%) 和较低 (<4.5%) 的IDWG%组.
在2天和3天的透析间隔开始和结束时进行心声学评估.

主要成果:

在3天间隔内,在IDWG%较高的组中,RV缩压 (RVSP) 的增加显著更高 (p=0.015).
两组之间没有观察到RV填充压力的显著差异 (p=0.84).
升高的RVSP表明肺循环压力增加,流体积累较高.

结论:

在3天的透析间隔时间内,超过推值的液体积累会使肺循环过载.
患有较大液体积累的患者的较高RVSP升高证实了这种过载.
管理IDWG%对于减轻血液透析患者心血管应变至关重要.

关键词:

超声心电图 (Echocardiography) 是一种心声回声仪.血液透析是血液透析的方法之一.在隔日分析期间,体重增加.右心室的右心室.

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