Abstract:
BACKGROUND:Though hemodialysis (HD) acutely improves cardiac function, the impact of background diseases like coronary artery disease (CAD) and Type 2 diabetes (DM) in the setting of end-stage renal disease (ESRD) is not known. Tissue velocity echocardiography (TVE) offers a fast choice to follow changes in myocardial function after HD in ESRD with concomitant DM and /or CAD. METHODS:46 subjects (17 with ESRD, Group 1; 15 with DM, Group 2; 14 with DM+CAD, Group 3) underwent standard and TVE prior to and shortly after HD. Besides standard Doppler variables, regional myocardial systolic and diastolic velocities, as well as systolic strain rate were post processed. RESULTS:Compared with pre-HD, post-HD body weight (kg) significantly decreased in all the three groups (51 +/- 9 vs. 48 +/- 8, 62 +/- 10 vs.59 +/- 10, and 61 +/- 9 vs. 58 +/- 9 respectively; all p < 0.01). Left ventricular end diastolic dimensions (mm) also decreased post- HD (46 +/- 5 vs. 42 +/- 7, 53 +/- 7 vs. 50 +/- 7, 51 +/- 7 vs. 47 +/- 8 respectively; all p < 0.01). Regional longitudinal peak systolic velocity in septum (cm/s) significantly increased post-HD in Group 1(5.7 +/- 1.6 vs. 7.2 +/- 2.3; p < 0.001) while remained unchanged in the other two groups. Similar trends were noted in other left ventricular walls. When the myocardial velocities (cm/s) were computed globally, the improvement was seen only in Group 1 (6.3 +/- 1.5 vs. 7.9 +/- 2.0; p < 0.001). Global early regional diastolic velocity (cm/s) improved in Group 1, remained unchanged in Group 2, while significantly decreased in Group 3(-5.9 +/- 1.3 vs. -4.1 +/- 1.8; p < 0.01). Global systolic strain rate (1/sec) increased in the first 2 Groups but remained unchanged (-0.87 +/- 0.4 vs. -0.94 +/- 0.3; p = ns) in Group 3. CONCLUSION:A single HD session improves LV function only in ESRD without coexistent DM and/or CAD. The present data suggest that not only dialysis-dependent changes in loading conditions but also co-existent background diseases determine the myocardial response to HD.
journal_name
Cardiovasc Ultrasoundjournal_title
Cardiovascular ultrasoundauthors
Govind SC,Roumina S,Brodin LA,Nowak J,Ramesh SS,Saha SKdoi
10.1186/1476-7120-4-9keywords:
subject
Has Abstractpub_date
2006-02-02 00:00:00pages
9issn
1476-7120pii
1476-7120-4-9journal_volume
4pub_type
杂志文章abstract::A high incidence of left ventricular diastolic dysfunction and increased risk of cardiovascular events have been reported in patients with diabetes mellitus. Sodium glucose cotransporter 2 (SGLT2) inhibitors selectively inhibit kidney glucose and sodium reabsorption, and cardiovascular benefits of SGLT2 inhibitors bey...
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更新日期:2019-11-13 00:00:00
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journal_title:Cardiovascular ultrasound
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章,评审
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journal_title:Cardiovascular ultrasound
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doi:10.1186/1476-7120-6-52
更新日期:2008-10-16 00:00:00
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journal_title:Cardiovascular ultrasound
pub_type: 临床试验,杂志文章
doi:10.1186/1476-7120-7-58
更新日期:2009-12-22 00:00:00
abstract::A 63-year-old man was admitted to our hospital with a complaint of right lateroabdominal pain. He was diagnosed with metastatic colon cancer, and then developed multiple brain embolic infarctions 7 days after admission. Transesophageal echocardiography showed that mobile, echo-dense masses were attached to the anterio...
journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/1476-7120-9-8
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abstract:BACKGROUND:Left ventricular (LV) ejection fraction (LVEF) assessed by two-dimensional echocardiography (2DE) is the most widely used parameter for clinical decision-making, but reproducibility and accuracy problems remain. We evaluated the usefulness of a novel training program based on cardiac magnetic resonance (CMR)...
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pub_type: 杂志文章
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/s12947-015-0027-2
更新日期:2015-07-15 00:00:00
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章,评审
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章,meta分析,评审
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更新日期:2012-11-30 00:00:00
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/1476-7120-1-5
更新日期:2003-05-16 00:00:00
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/1476-7120-7-47
更新日期:2009-10-11 00:00:00
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/1476-7120-8-5
更新日期:2010-03-12 00:00:00
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/1476-7120-8-36
更新日期:2010-09-02 00:00:00
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/1476-7120-9-28
更新日期:2011-10-26 00:00:00
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章,评审
doi:10.1186/1476-7120-2-11
更新日期:2004-07-30 00:00:00
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/s12947-020-00214-1
更新日期:2020-08-13 00:00:00
abstract:BACKGROUND:Aortic valve stenosis (AS) is the most common primary valvular heart disease leading to surgical or percutaneous aortic valve replacement (AVR) in Europe and its prevalence keeps growing. While other risk factors in severe AS are well documented, little is known about the prognostic value of left atrial (LA)...
journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/s12947-020-00231-0
更新日期:2021-01-02 00:00:00
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章,评审
doi:10.1186/1476-7120-3-6
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/1476-7120-4-7
更新日期:2006-01-26 00:00:00
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pub_type: 杂志文章
doi:10.1186/1476-7120-5-20
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更新日期:2010-11-26 00:00:00
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/1476-7120-12-2
更新日期:2014-01-28 00:00:00
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章,评审
doi:10.1186/s12947-016-0080-5
更新日期:2016-09-06 00:00:00
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/s12947-016-0081-4
更新日期:2016-09-07 00:00:00
abstract:BACKGROUND:In patients with advanced non-ischemic cardiomyopathy (NIC), right-sided cardiac disturbances has prognostic implications. Right coronary artery (RCA) flow pattern and flow reserve (CFR) are not well known in this setting. The purpose of this study was to assess, in human advanced NIC, the RCA phasic flow pa...
journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/1476-7120-5-31
更新日期:2007-09-26 00:00:00
abstract:BACKGROUND:Theoretically, a cross-sectional image of any cardiac planes can be obtained from a STIC fetal heart volume dataset. We described a method to display 11 fetal echocardiographic planes from STIC volumes. METHODS:Fetal heart volume datasets were acquired by transverse acquisition from 200 normal fetuses at 15...
journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/1476-7120-8-41
更新日期:2010-09-15 00:00:00
abstract:BACKGROUND:The aim of the study was to perform a feature tracking analysis on cine magnetic resonance (MR) images to elucidate if functional measurements of the motion of the left ventricular wall may detect scar defined with gadolinium enhanced MR.Myocardial contraction can be measured in terms of the velocity, displa...
journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/1476-7120-7-53
更新日期:2009-11-16 00:00:00
abstract:BACKGROUND:The morning hours are associated with increased cardiovascular (CV) risk, and vascular endothelial function (VEF) is a strong predictor of CV disease. A diurnal rhythm in VEF has been established but the morning variation in VEF is not well-documented. Thus, we tested if VEF is impaired across the vulnerable...
journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/s12947-015-0036-1
更新日期:2015-10-05 00:00:00
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/1476-7120-6-33
更新日期:2008-06-24 00:00:00