الفهرس | Only 14 pages are availabe for public view |
Abstract In dialysis patients, both cardiovascular and noncardiovascular mortality are significantly increased as compared to general population. In particular cardio-vascular mortality contributes to 40% of all-cause mortality in patients on haemodialysis. We assessed the (LV) function in 26 patients with ESRD on MHD before and after the HD set. Methods: Twenty-six subjects were enrolled in this study on maintenance HD 3 times per week for 3 hours; 13 with hypertension;6 with diabetes mellitus; 8 with ECG criteria of left ventricular hypertrophy (LVH). All subjects underwent standard two-dimensional echocardiography and myocardial strain imaging. Results: There is a significant reduction of stroke volume, left ventricular internal diameter in diastole, left ventricular internal diameter in systole; left ventricular posterior wall thickness in systole, end diastolic volume, end systolic volume, E wave and E/A ratio and finally pulmonary artery systolic pressure after HD set [P<0.05]. On the other hand there are no significant changes in neither interventricular seputm in both diastole and systole, left ventricular posterior wall thickness in diastole, fractional shortening, A wave, ejection fraction or left atrial dimension[P >0.05].Also a significant reduction of GLPS_LAX, global longitudinal peak systolic strain in long axis view; GLPS_A4C, global longitudinal peak systolic strain in apical 4 chamber view; GLPS_A2C global longitudinal peak systolic strain in apical 2 chamber view and GLPS_AVG, global longitudinal peak systolic strain average after HD set [P<0.05]. |