相关实验视频
Updated: Jun 24, 2025
08:50
Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
16.2K
慢性病患者的心周溢血:一项两中心研究
Vahid Eslami1, SeyedehFatemeh Mousavi2,3, Rana Irilouzadian4
1Cardiovascular Research Center, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
PloS one
|June 6, 2024
概括
在慢性病 (CKD) 患者中,心周溢血 (PE) 与低albuminemia和中性恋有关. 这些因素,包括中性粒细胞与淋巴细胞比率 (NLR) 超过5.5,预测中度至严重的PE.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 心脏病学 心脏病学
- 临床医学 临床医学
背景情况:
- 心周溢出 (PE) 在慢性病 (CKD) 中很常见.
- 了解影响CKD中PE严重程度的因素对于患者管理至关重要.
- 这项研究调查了非透析CKD患者PE严重程度的临床和实验室标志物.
研究的目的:
- 为了确定与心脏病患者心周溢血的严重程度相关的临床和实验室特征.
- 在这个人群中探索中度和重度PE的预测因素.
主要方法:
- 一项对112名患有PE的CKD患者 (4-5期,非透析) 的横截面研究.
- 医疗记录的分析,包括临床数据和入院时的实验室结果和心声回声学.
- 轻度PE和中度/重度PE组之间的特征比较.
主要成果:
- 低albuminemia和升高的中性粒细胞与淋巴细胞比率 (NLR>5.5) 在入院时与中度/严重的PE相关.
- 在心声回声检查中,低albuminemia和中性恋与增加PE严重程度相关.
- 多变量分析证实低albuminemia和NLR>5.5作为重要的预测因素.
结论:
- 低albuminemia,中性嗜好和NLR>5.5是中度到重度PE的潜在预测者.
- 这些发现突出了评估CKDPE风险的关键实验室标记.
- 建议进行进一步的前性研究来验证这些预测因素.
相关概念视频
01:22Heart Failure Drugs: Diuretics
363
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
363
01:28Pleural Effusion II: Symptoms and Management
165
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
165
01:27Dialysis
293
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
293
01:25Pleural Effusion I: Introduction
897
Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
897
01:17Factors Affecting Renal Clearance: Renal Impairment
84
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
84
01:17Imaging Studies for Cardiovascular System I:Echocardiography
314
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
314