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echocardiography in end stage renal disease patients

Joo Hoon Lee, Jae Suk Baek, Jeong Jin Yu, Young-Hwue Kim, Jae-Kon Ko, Young Seo Park
OBJECTIVE: To evaluate the relationship between B-type natriuretic peptide (BNP) and cardiac parameters on echocardiography. DESIGN AND METHOD: Echocardiography was checked at 6 months ∼ 1 year interval in children with end-stage renal disease on peritoneal dialysis, which was more frequently done in patients with hypertension or any heart problems. We reviewed blood pressure (BP) and echocardiographic findings of those children (since February 2005). Data were presented as mean ± standard deviation (median, minimum ∼ maximum)...
September 2016: Journal of Hypertension
Min Ye, Na Tian, Yanqiu Liu, Wei Li, Hong Lin, Rui Fan, Cuiling Li, Donghong Liu, Fengjuan Yao
OBJECTIVES: We initiated this study to explore the relationships of serum phosphorus level with left ventricular ultrasound features and diastolic function in peritoneal dialysis (PD) patients. METHODS: 174 patients with end-stage renal disease (ESRD) receiving PD were enrolled in this retrospective observational study. Conventional echocardiography examination and tissue Doppler imaging (TDI) were performed in each patient. Clinical information and laboratory data were also collected...
2016: PloS One
Joo Hoon Lee, Jae Suk Baek, Jeong Jin Yu, Young-Hwue Kim, Jae-Kon Ko, Young Seo Park
OBJECTIVE: To evaluate the relationship between B-type natriuretic peptide (BNP) and cardiac parameters on echocardiography. DESIGN AND METHOD: Echocardiography was checked at 6 months ∼ 1 year interval in children with end-stage renal disease on peritoneal dialysis, which was more frequently done in patients with hypertension or any heart problems. We reviewed blood pressure (BP) and echocardiographic findings of those children (since February 2005). Data were presented as mean ± standard deviation (median, minimum ∼ maximum)...
September 2016: Journal of Hypertension
A Shantsila, E Shantsila, P S Gill, G Y H Lip
Renal dysfunction is frequently associated with left ventricular (LV) hypertrophy and diastolic dysfunction in hypertensive patients. Limited data exist on renal dysfunction and diastolic impairment among British ethnic minorities with hypertension. We studied associations between renal impairment and diastolic dysfunction in hypertensive subjects of African-Caribbean and South Asian origin. Five hundred and ten hypertensive subjects with ejection fraction ⩾55% and with no history of ischaemic heart disease/valve pathology were included from the original population of the Ethnic-Echocardiographic Heart of England Screening Study (E-ECHOES)...
September 8, 2016: Journal of Human Hypertension
Ruth F Dubin, Isabella Guajardo, Amrita Ayer, Claire Mills, Catherine Donovan, Lauren Beussink, Rebecca Scherzer, Peter Ganz, Sanjiv J Shah
Patients with end-stage renal disease (ESRD) suffer high rates of heart failure and cardiovascular mortality, and we lack a thorough understanding of what, if any, modifiable factors contribute to cardiac dysfunction in these high-risk patients. To evaluate endothelial function as a potentially modifiable cause of cardiac dysfunction in ESRD, we investigated cross-sectional associations of macro- and microvascular dysfunction with left and right ventricular dysfunction in a well-controlled ESRD cohort. We performed comprehensive echocardiography, including tissue Doppler imaging and speckle-tracking echocardiography of the left and right ventricle, in 149 ESRD patients enrolled in an ongoing prospective, observational study...
October 2016: Hypertension
Isaac B Rhea, Kathleen Morris, Stephen Sawada, Harvey Feigenbaum
AIMS: Reduced global longitudinal systolic strain (GLS) is a common finding in end-stage renal disease (ESRD) patients with normal ejection fraction (EF), and GLS is a stronger predictor of mortality than EF. We sought to determine what factors may be responsible for the decreased strain in this population. METHODS AND RESULTS: The study group was comprised of 139 renal transplant candidates with a normal EF who had echocardiography with assessment of GLS and basal longitudinal systolic strain (BLS)...
August 20, 2016: Echocardiography
Majlinda Cafka, Merita Rroji, Saimir Seferi, Myftar Barbullushi, Genc Burazeri, Nereida Spahia, Alma Idrizi, Erjola Likaj, Joana Seiti, Jonida Lazaj, Artan Goda
INTRODUCTION: The aim of this study was to evaluate ventricular geometry, its relationship with the inflammatory markers, and mortality of patients with end-stage renal disease on peritoneal and hemodialysis treatment. MATERIALS AND METHODS: We enrolled adult patients on long-term dialysis (hemodialysis and peritoneal dialysis) for more than 3 months. Two-dimensional echocardiography was performed by an experienced cardiologist who was blinded to all clinical details of patients...
July 2016: Iranian Journal of Kidney Diseases
Islam Sharabas, Nauman Siddiqi
This study was performed to assess the cardiovascular disease (CVD) risk factors in the prevalent peritoneal dialysis (PD) and hemodialysis (HD) patients and their association with cardiovascular events (CVEs) in a Saudi end-stage renal disease cohort. This was a prospective, observational, single-center study. A total of 192 patients were screened of which 157 patients were eligible (HD = 121, PD = 36). All patients underwent assessment of cardiovascular risk factors at the time of enrollment including electrocardiogram and echocardiography, lipid profile, homocysteine, and insulin levels...
July 2016: Saudi Journal of Kidney Diseases and Transplantation
Jan Malik, Jana Lachmanova, Jaroslav Kudlicka, Katarina Rocinova, Anna Valerianova, Magdalena Bartkova, Vladimir Tesar
BACKGROUND: Repeated inter-dialysis water retention contributes to the development of left ventricular hypertrophy and failure, which is responsible for significant mortality of end-stage renal disease (ESRD) patients. The left atrium has a thin wall, which makes it even more prone to preload changes. In the general population with heart failure with preserved ejection fraction (HFpEF), left atrial function is even worse than that in patients with reduced ejection fraction. We hypothesized that repeated water retention is related to left atrial dysfunction in ESRD patients treated by hemodialysis and that the expected changes would be related to the brain natriuretic peptide (BNP) levels...
2016: Nephron
Mu-Yang Hsieh, Lin Lin, Tsung-Yan Chen, Ren-Huei Wang, Su-Chin Huang, HsiuChiao Liu, Chao-Lun Lai, Shih-Yen Pu, Kuei-Chin Tsai, Chih-Cheng Wu
BACKGROUND: The prevalence of pulmonary hypertension is unusually high in Taiwanese patients with end-stage renal disease. Thrombosis of hemodialysis grafts is common and pulmonary embolism has been reported after endovascular thrombectomy. The aim of this study was to evaluate the relationship between pulmonary hypertension and endovascular thrombectomy of hemodialysis grafts. METHODS: One hundred and ten patients on hemodialysis via arteriovenous grafts were enrolled in our study...
May 2016: Acta Cardiol Sin
Maike van Huis, Nikki J Schoenmaker, Jaap W Groothoff, Johanna H van der Lee, Maria van Dyk, Marc Gewillig, Linda Koster, Ronald Tanke, Marc Lilien, Nico A Blom, Luc Mertens, Irene M Kuipers
BACKGROUND: Left ventricular dysfunction is an important co-morbidity of end-stage renal disease (ESRD) and is associated with a poor prognosis in the adult population. In pediatric ESRD, left ventricular function is generally well preserved, but limited information is available on early changes in myocardial function. The aim of this study was to investigate myocardial mechanics in pediatric patients with ESRD using speckle-tracking echocardiography (STE). METHODS: Echocardiographic studies, including M-mode, tissue Doppler imaging (TDI) and STE, were performed in 19 children on dialysis, 17 transplant patients and 33 age-matched controls...
September 2016: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
Larisa G Tereshchenko, Esther D Kim, Andrew Oehler, Lucy A Meoni, Elyar Ghafoori, Tejal Rami, Maggie Maly, Muammar Kabir, Lauren Hawkins, Gordon F Tomaselli, Joao A Lima, Bernard G Jaar, Stephen M Sozio, Michelle Estrella, W H Linda Kao, Rulan S Parekh
The single leading cause of mortality on hemodialysis is sudden cardiac death. Whether measures of electrophysiologic substrate independently associate with mortality is unknown. We examined measures of electrophysiologic substrate in a prospective cohort of 571 patients on incident hemodialysis enrolled in the Predictors of Arrhythmic and Cardiovascular Risk in End Stage Renal Disease Study. A total of 358 participants completed both baseline 5-minute and 12-lead electrocardiogram recordings on a nondialysis day...
April 29, 2016: Journal of the American Society of Nephrology: JASN
Emad Abdallah, Osama Mosbah, Ghada Khalifa, Amna Metwaly, Omnia El-Bendary
BACKGROUND: The aim of our study was to assess the relationship between soluble Klotho (s-Klotho) and carotid intima-media thickness (CIMT) and left ventricular (LV) dysfunction in hemodialysis (HD) patients. METHODS: This is a cross-sectional study conducted on 88 patients with end-stage renal disease on regular HD. Serum levels of calcium, phosphorus, parathyroid hormone, and C-reactive protein were measured. The serum levels of s-Klotho and fibroblast growth factor-23 (FGF-23) were measured using an Enzyme linked immunosorbent assay (ELISA) kit...
March 2016: Kidney Research and Clinical Practice
Noha Hassanin, Alkhateeb Alkemary
BACKGROUND: Pulmonary hypertension (PH) is one of the most important comorbidities in patients undergoing hemodialysis (HD). The goal of the present work is to determine the possible etiologic factors for its occurrence. METHODS: The prevalence of PH was estimated by Doppler echocardiography in a cohort of 100 patients aged 49.3 ± 13.9 years on regular HD. Mean pulmonary artery pressure was estimated from pulmonary acceleration time by Mahan's regression equation...
April 2016: Journal of the Saudi Heart Association
Yue Zhong, Yanting Liu, Ting Wu, Huizi Song, Zhongxiu Chen, Wei Zhu, Yuyan Cai, Wen Zhang, Wenjuan Bai, Hong Tang, Li Rao
OBJECTIVES: Dissipative energy loss derived from vector flow mapping represents the viscous dissipation of turbulent blood flow. We aimed to determine the left ventricular (LV) energy loss in patients with end-stage renal disease (ESRD). METHODS: Patients with ESRD and a preserved LV ejection fraction, who consisted of a group receiving peritoneal dialysis, a group receiving hemodialysis, and a group receiving preparation for dialysis initiation, were examined by echocardiography; a group of healthy control participants were examined as well...
May 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
Mohammed Al-Biltagi, Osama A Tolba, Maher Ahmed Abd ElHafez, Ahmed Abd ElBasset Abo-Elezz, Eman Kamel El Kady, Sahar Mohey El-Din Hazza
OBJECTIVE: The objective of this study was to evaluate cardiac function in children with end-stage renal disease (ESRD) on regular hemodialysis using speckle tracking echocardiography (STE) and correlate results with plasma glutathione level as a marker of oxidative stress. METHODS: The study involved 30 children with ESRD and 30 healthy controls. The plasma glutathione and C-reactive protein (CRP) levels were measured, and cardiac function was evaluated using conventional echocardiography and STE...
August 2016: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
Yunhuan Tian, Sheng Feng, Zhoubing Zhan, Ying Lu, Yancai Wang, Shan Jiang, Kai Song, Huaying Shen
OBJECTIVE: Patients with end-stage renal disease are susceptible to cardiac valve calcification (CVC) due to mineral metabolism disorders and other factors. The purpose of this study was to investigate the risk factors for new-onset CVC in patients on maintenance peritoneal dialysis (PD). METHODS: This study included patients who underwent PD catheter insertion from January 2006 to June 2013 in our Peritoneal Dialysis Center. Clinical data were collected on CVC status during echocardiography evaluations (twice) at an interval of >6 months...
February 2016: Cardiorenal Medicine
LaTonya J Hickson, Sara M Negrotto, Macaulay Onuigbo, Christopher G Scott, Andrew D Rule, Suzanne M Norby, Robert C Albright, Edward T Casey, John J Dillon, Patricia A Pellikka, Sorin V Pislaru, Patricia J M Best, Hector R Villarraga, Grace Lin, Amy W Williams, Vuyisile T Nkomo
BACKGROUND: Cardiovascular disease among hemodialysis (HD) patients is linked to poor outcomes. The Acute Dialysis Quality Initiative Workgroup proposed echocardiographic (ECHO) criteria for structural heart disease (SHD) in dialysis patients. The association of SHD with important patient outcomes is not well defined. OBJECTIVES: This study sought to determine prevalence of ECHO-determined SHD and its association with survival among incident HD patients. METHODS: We analyzed patients who began chronic HD from 2001 to 2013 who underwent ECHO ≤1 month prior to or ≤3 months following initiation of HD (n = 654)...
March 15, 2016: Journal of the American College of Cardiology
Simone Theilade, Peter Rossing, Jesper Eugen-Olsen, Jan S Jensen, Magnus T Jensen
AIM: Heart disease is a common fatal diabetes-related complication. Early detection of patients at particular risk of heart disease is of prime importance. Soluble urokinase plasminogen activator receptor (suPAR) is a novel biomarker for development of cardiovascular disease. We investigate if suPAR is associated with early myocardial impairment assessed with advanced echocardiographic methods. METHODS: In an observational study on 318 patients with type 1 diabetes without known heart disease and with normal left ventricular ejection fraction (LVEF) (biplane LVEF >45%), we performed conventional, tissue Doppler and speckle tracking echocardiography, and measured plasma suPAR levels...
June 2016: European Journal of Endocrinology
Levent Demirtas, Kultigin Turkmen, Mutlu Buyuklu, Ismail Kocyigit, Ozcan Orscelik
INTRODUCTION: Left atrium (LA) mechanical functions and atrial electromechanical delay (AEMD) times were considered independent predictors of cardiovascular morbidity in general population. Data are scant about these parameters in end-stage renal disease (ESRD) patients receiving hemodialysis (HD) and peritoneal dialysis (PD). We aimed to evaluate AEMD times and LA mechanical functions and associated risk factors in HD and PD patients. METHODS: Forty-four healthy individuals, 62 HD and 50 PD patients were enrolled in the study...
May 2016: International Urology and Nephrology
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