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2010, Number 1

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Rev Med Inst Mex Seguro Soc 2010; 48 (1)

Left ventricular dysfunction measured in diabetic patients with chronic renal failure on continuous ambulatory peritoneal dialysis

Díaz-Arrieta G, Mendoza-Hernández ME, Pacheco-Aranda E, Rivas-Duro M, Robles-Parra HM, Espinosa-Vázquez RA, Hernández-Cabrera J

Language: Spanish
References: 29
Page: 17-23
PDF size: 43.23 Kb.


ABSTRACT

Background: in diabetic patients with chronic renal failure (CRF) treated with dialysis, the diastolic and systolic left ventricular dysfunction is frequent. The aim was to assess by echocardiography the prevalence of diastolic and systolic ventricular dysfunction in diabetic patients with CRF treated with continuous ambulatory peritoneal dialysis (CAPD).
Methods: sixty diabetic patients with CRF in CAPD were studied. The mean age was 54.5 ± 12 years (27-78 years). The left ventricular filling pattern (LVFP) as a diastolic function parameter and left ventricular ejection fraction (LVEF) as a systolic function parameter were measured by transthoracic echocardiography. Descriptive statistical analysis was used.
Results: 27 (45 %) patients were women and 33 (55 %) were men. In 55 (91.7 %) left ventricular concentric hypertrophy was observed. Fifty two patients (86.7 %) showed LVFP type I; three (5 %) had the type II; two (3.3 %) showed pseudonormal pattern and three (5 %) had a normal LVFP. The LVEF was 0.63 ± 0.09 (CI = 0.41-0.82). Forty nine (81.7 %) patients had LVEF equal or greater than 0.55.
Conclusions: the prevalence of diastolic left ventricular dysfunction was 95 % and the prevalence of systolic left ventricular dysfunction was 18.3 %.


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