Şeref ALPSOY, Aydın AKYÜZ, Mustafa ORAN, Reşit YAMAN, Dursun ÇAYAN AKKOYUN, Birol TOPÇU, Hasan DEĞİRMENCİ

Son dönem böbrek hastalarinda hemodiyalizin sol ve sağ kalp fonksiyonlari üzerine etkisi English

Amaç: Kronik böbrek yetmezliği olan hastalarda morbidite ve mortalite riskinin arttığı bilinmektedir. Kronik böbrek yetmezliği olan hastalarda hemodiyalizin sol ve sağ ventrikül sistolik ve diyastolik fonksiyonları üzerine etkisini konvansiyonel ve doku Doppler ekokardiyografi ile değerlendirmeyi amaçladık.Materyal ve metod: Bu ileriye dönük gözlemsel çalışmada hemodiyaliz öncesi ve diyalizden 60 dakika sonra 41 üremik hasta ekokardiyografi ile değerlendirildi. İki boyutlu, M- Mode, konvansiyonel ve doku Doppler ekokardiyografi ile sol ve sağ ventrikülün sistolik ve diyastolik fonksiyonları ölçüldü.Bulgular: Hemodiyaliz sonrası kalp hızı anlamlı olarak artarken ortalama vücut ağırlığı, sistolik ve diyastolik kan basınçları azaldı hepsi için p

Anahtar Kelimeler:

Böbrek yetmezliği, hemodializ, atımlı Doppler ekokardiyografi

Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease

Background: It is known that patients with chronic renal failure are at increased risk for morbidity and mortality. We aimed to assess the effects of hemodialysis on certain parameters used to evaluate left and right ventricular systolic and diastolic functions using conventional and tissue Doppler echocardiography in patients with end-stage renal insufficiency.Methods: In this prospective observational study, 41 uremic patients were evaluated via echocardiography before and 60 minutes after hemodialysis. Systolic and diastolic functions of left ventricle LV and right ventricle RV were measured by two dimensional, M-Mode, conventional and tissue Doppler echocardiography. Results: While a significant increase was observed in the mean heart rate after hemodialysis, the mean body weight, systolic and diastolic blood pressure values were significantly decreased all p values< 0.01 . Compared to before hemodialysis, mitral E/ mitral annulus septal E' and mitral E/ mitral annulus lateral E' did not change p= 0.105 and p= 0.165 , but significant alterations were determined in many of M-Mode, conventional and other tissue Doppler echocardiographic parameters after hemodialysis all p values< 0.05 and < 0.01 . Conclusions: Mitral E/ septal E' and mitral E/ lateral E' did not change following hemodialysis and therefore are the best parameters to use to assess diastolic function in hemodialysis patients. Since the other conventional and traditional Doppler parameters vary with hemodialysis, these are not accurate measurements in these patients

Keywords:

Renal insufficiency, hemodialysis, pulsed Doppler echocardiography,

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