medigraphic.com
Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2014, Number 2

<< Back Next >>

Rev Esp Med Quir 2014; 19 (2)

Hemodialysis effect on ventricular function

Cárdenas CE, Villaseñor GS, Reynoso MMT, García CJ

Language: Spanish
References: 14
Page: 163-168
PDF size: 417.57 Kb.


ABSTRACT

Introduction: Chronic Kidney Failure has an estimated incidence of 377 cases per million persons, with about 52,000 patients in renal replacement therapy. Chronic Kidney Failure is among the first ten general mortality cause, is the eighth cause of death in males of reproductive age and sixth in adult woman. The precise effects of hemodialysis on the ventricular function of patients with chronic kidney disease are unknown. In the present study we compare the echocardiographic changes observed in patients undergoing peritoneal dialysis with does undergoing hemodialysis.
Material and methods: Prospective, longitudinal, cohorts study. Patients from the nephrology service at Dr. Dario Fernandez Fierro Hospital were recruited. They were placed in one of two groups, those in a hemodialysis program (group 1) and those in peritoneal dialysis program (group 2). An echocardiogram was done to each patient in each group at the start of the protocol and a second one at three months’ time, measuring the Dp/Dt.
Results: A Dp/Dt increased in 30%, decreasing in 0% and had no change in 70% of patients in peritoneal dialysis. In the hemodialysis group the Dp/Dt increased in 11.1%, decreased in 55.6% and had no change in 33.3% of patients (p ‹ 0.05).
Discussion: This study shows that significant difference exists on ventricular function measured by Dp/Dt after three months in patients treated with hemodialysis compared with peritoneal dialysis.


REFERENCES

  1. Treviño BA. Insuficiencia renal crónica: enfermedad emergente, catastrófica y por ello prioritaria. Cir Cir 2004;72(1):3-4.

  2. Méndez DA, Francisco MB, Tapia YT, Montes AM, Aguilar SL. Epidemiología de la insuficiencia renal crónica en México. Diálisis y Trasplante 2010;31(1):7-11.

  3. INEGI. Conteo de población y vivienda 2005. Indicadores del censo general de Población y vivienda, Ed. INEGI, México, 2005.

  4. Fernández CS. El IMSS en cifras: la mortalidad en la población derechohabiente, 2003. Rev Med IMSS 2004;42(4):353-364.

  5. Fernández CS. El IMSS en Cifras. Rev Med Inst Mex Seguro Soc 2006;44(3):261-273.

  6. Garcia GG, Briseño RG, Luquín AV, Gao Z, Gill J, Tonelli M. Survival among patients with kidney failure in Jalisco, Mexico. Journal of the American Society of Nephrology 2007;18(6):1922-1927.

  7. Pecoits FR, Abensur H, Cueto AM, Dominguez J, Divino FJ, Fernandez CJ, Paniágua R. Overview of peritoneal dialysis in Latin America. Peritoneal dialysis international 2007;27(3):316-321.

  8. Foley RN, Parfrey PS, Harnett JD, Kent GM, Martin CJ, Murray DC y col. Clinical and echocardiographic disease in patients starting end-stage renal disease therapy. Kidney international 1995;47(1):186-192.

  9. Parfrey PS, Harnett JD, Foley RN. Heart failure and ischemic heart disease in chronic uremia. Current opinion in nephrology and hypertension 1995;4(2):105-110.

  10. McCullough PA. Cardiovascular disease in chronic kidney disease from a cardiologist’s perspective. Current opinion in nephrology and hypertension 2004;13(6):591-600.

  11. Barberato SH, Pecoits FR. Echocardiographic alterations in patients with chronic kidney failure undergoing hemodialysis. Arquivos brasileiros de cardiologia 2010;94(1):140-146.

  12. Ritz E, Rambausek M, Mall G, Ruffmann K, Mandelbaum A. Cardiac changes in uraemia and their possible relationship to cardiovascular instability on dialysis. Nephrology, dialysis, transplantation: official publication of the European Dialysis and Transplant Association-European Renal Association 1989;5:93-97.

  13. Álvarez LM, Baún MÓ, Tercedor SL, Ramírez HJ, Azpitarte AJ, Alcalá LJ y col. Utilidad del índice Doppler ΔP/Δt en la evaluación de la disfunción sistólica ventricular izquierda. Revista Española de Cardiología 1997;50(2):105-110.

  14. Bargiggia GS, Bertucci C, Recusani F, Raisaro A, de Servi S, Valdes CL, Tronconi L. A new method for estimating left ventricular dP/dt by continuous wave Doppler-echocardiography. Validation studies at cardiac catheterization. Circulation, 1989;80(5):1287-1292.




2020     |     www.medigraphic.com