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2014, Number 1

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Rev Cubana Cardiol Cir Cardiovasc 2014; 20 (1)

Echocardiographyc changes in kidney transplanted patients

Flores CMC, Ramos GHL, Cairo SG

Language: Spanish
References: 18
Page:
PDF size: 523.30 Kb.


ABSTRACT

Introduction: Cardiovascular affectation is frequent in the patients with chronic kidney failure and cardiovascular complications constitute the first cause of death in these patients.
Objective: Identify echocardiographic changes in transplanted renal patients in the Hospital "Arnaldo Milián" of Santa Clara.
Methods: A descriptive-prospective study was carried. 46 patients were studied, The average age was 45,2 years, an echocardiogram was perform before transplant and at three, six and nine months after it.
Conclusions: Six patients died during the study. In pre-transplant patients the average ejection fraction was 53,4%, and the main findings were left ventricular hypertrophy and pericardial effusion, present in 73,9% of patients. The longer the time on hemodialysis, the greater the deterioration of the cardiac function. After kidney transplant pericardial effusion as well as the cardiac function improved significantly.


REFERENCES

  1. Feigenbaum H. Historia de la ecocardiografía.- En: Ecocardiografía. 6ª Ed. Madrid: Panamericana; 2007. p. 3 – 10; p. 138 – 180.

  2. De Mattos AM, Prather J, Olyaei AJ, Shibagaki Y, Keith DS, Mori M, et al. Cardiovascular events following renal transplantation: Role of traditional and transplant-specific risk factors. Kidney Int. 2007;70:757-64.

  3. National Kidney Foundation. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification and stratification. Am J Kidney Dis. 2007;39:S1-266.

  4. Arias M, González J. Resultados del trasplante renal. Supervivencia del paciente y del injerto. En: Ortega F, Arias M, Campistol GM, Matesanz R, Morales JM, eds. Trasplante renal. Madrid: Panamericana; 2007. p. 238 -242.

  5. Ansell D, Udayaraj UP, Steenkamp R, Dudley CR. Chronic renal failure in kidney transplant recipients. Do they receive optimum care?: data from the UK renal registry. Am J Transplant. 2007;7:1167-76.

  6. Oh JK, Seward JB, Tajik AJ. Cardiopatías valvulares. En: Eco - manual. Ed. Marban; 2004. p. 103 – 131.

  7. Feigenbaum H. Evaluación de la función sistólica y diastólica del ventrículo izquierdo.- En: Ecocardiografía. 6ª Ed. Madrid: Panamericana; 2007. p. 138 – 180.

  8. Feigenbaum H. Enfermedades del pericardio.- En: Ecocardiografía. 6ª Ed. Madrid: Panamericana; 2007. p. 3 – 10; p. 247 – 270.

  9. Weiner DE, Tighiouait H, Stark PC, Amin MG, Macleod B, Griffith JL, et al. Kidney disease as a risk factor to recurrent cardiovascular disease and mortality. Am J Kidney Dis. 2004;44:198-206.

  10. Pellino ML, Maiorana CA, Lares M, Arana DC, Arana DG. Efecto cardíaco, inflamatorio y endotelial de pacientes trasplantados, con ERC. Revista Latinoamericana de Hipertensión. 2012; 7(3).

  11. Rodríguez A. Características de los pacientes con enfermedad renal crónica estadios I, II, III, IV. Colombia: Instituto de Ciencias de la Salud; 2007. Disponible en: http://bdigital.ces.edu.co:8080/dspace/bitstream/123456789/370/1/CARACTERISTI CAS_PACIENTES_ENFERMEDAD_RENAL.pdf

  12. García MA, Zamorano J. Procedimientos en Ecocardiografía. 3er curso ecocardiografía integral McGraw-Hill Interamericana de España, SAU. Marzo-Mayo-2006.

  13. Weiner DE, Tighiouart H, Elsayed EF, Griffith JL, Salem DN, Levey AS, et al. The Framingham predictive instrument in chronic kidney disease. J Am CollCardiol. 2007;50:217-24.

  14. Rakhit DJ, Zhang XH, Leano R, Armstrong KA, Isbel NM, Marwick TH. Prognostic role of subclinical left ventricular abnormalities and impact of transplantation in chronic kidney disease. Am Heart J. 2007;153: 656-64.

  15. Sarnak MJ, Levey AS, Schoolwerth AC, Coresh J, Culleton B, Hamm LL, et al. Kidney diseaseas a risk factor for development of cardiovascular disease. A statement from the American Heart Association Councils on kidney in cardiovascular disease, high blood pressure research, clinical cardiology, and epidemiology and prevention. Hipertensión. 2008;42:1050-65.

  16. Feigenbaum H, Armstrong WF, RyanT. La ecocardiografía en la enfermedad sistémica y solución de problemas clínicos.- En: Ecocardiografía. 6ª Ed. Panamericana: Madrid; 2007. p. 735 – 61.

  17. Foley RN, Parfrey PS, Harnett JD, Kent GM, Murray DC, Barre PE. The prognostic importance of left ventricular geometry in uremic cardiomyopathy. J Am Soc Nephrol. 1995;5:2024-31.

  18. Barberato SH, Pecoits R. Prognostic value of left atrial volume index in hemodialysis patients. Arq Bras Cardiol. 2007;88:643-50




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