Is echocardiography mandatory for patients with chronic kidney disease?

Abstract:

:This study aims at evaluating the prevalence of left ventricular diastolic dysfunction in a group of 319 hypertensive patients with stage 3b-4-5 chronic kidney disease (according to Kidney Disease Improving Global Outcomes classification), compared with 216 patients with essential hypertension and normal renal function. All patients underwent echocardiographic examination. Patients on stage 1-2-3a chronic kidney disease, dialysis treatment, or with previous manifestations of heart failure or other cardiovascular diseases were excluded. Patients with renal disease had significantly worse diastolic function (both considering trans-mitral flow and tissue Doppler imaging parameters). Diastolic dysfunction is found in 70.5% of the CKD group and in 41.6% of hypertensive patients (p < 0.0001). Multiple regression analysis shows an association between renal function and diastolic function (β 0.223; p < 0.0001), independent of potential confounders. Our study shows that diastolic dysfunction is highly prevalent in patients with advanced chronic kidney disease; we posit that in this population, the risk of diastolic heart failure is very high. We think that patients with a marked decrease of glomerular filtration rate (GFR) must be considered at high risk for diastolic heart failure and should have an echocardiographic examination performed, even if asymptomatic and in the absence of evident cardiovascular disease.

journal_name

Intern Emerg Med

authors

Nardi E,Mulè G,Nardi C,Geraci G,Giammanco A,Bentivegna R,Averna M

doi

10.1007/s11739-019-02028-0

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

923-929

issue

6

eissn

1828-0447

issn

1970-9366

pii

10.1007/s11739-019-02028-0

journal_volume

14

pub_type

杂志文章
  • The utility of head computed tomography in the emergency department evaluation of syncope.

    abstract:OBJECTIVE:Current guidelines for evaluation of syncope recommend that in the absence of objective focal neurologic findings, head computed tomography (HCT) may not be necessary. Compliance with this recommendation is highly variable, which may be due in part to the lack of currently available evidence. We undertook the...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/BF02936543

    authors: Goyal N,Donnino MW,Vachhani R,Bajwa R,Ahmad T,Otero R

    更新日期:2006-01-01 00:00:00

  • Mechanical restraint in an emergency department: a consecutive series of 593 cases.

    abstract::The objective is to describe the characteristics of mechanically restrained patients in the emergency department (ED) of a university hospital and to evaluate the quality of restraint documentation that was filled out according to the dedicated protocol with respect to the law on restraint. All adult patients (≥16 yea...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-017-1697-6

    authors: Beysard N,Yersin B,Carron PN

    更新日期:2018-06-01 00:00:00

  • Changing prevalence of Helicobacter pylori infection and peptic ulcer among dyspeptic Sardinian patients.

    abstract::Over the past 50 years, the prevalence of Helicobacter pylori infection has fallen as standards of living improved. The changes in the prevalence of infection and its manifestations (peptic ulcer disease and gastric mucosal lesions) were investigated in a large cohort of Sardinians undergoing upper endoscopy for dyspe...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-015-1218-4

    authors: Dore MP,Marras G,Rocchi C,Soro S,Loria MF,Bassotti G,Graham DY,Malaty HM,Pes GM

    更新日期:2015-10-01 00:00:00

  • Direct oral anticoagulants in atrial fibrillation: can data from randomized clinical trials be safely transferred to the general population? Yes.

    abstract::Atrial fibrillation is the most common arrhythmia and is associated with significant morbidity and mortality. The current therapeutic options for patients at high thromboembolic risk include the vitamin K antagonists and the direct oral anticoagulants. These novel agents have been evaluated in more than 40,000 patient...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-015-1277-6

    authors: Riva N,Ageno W

    更新日期:2015-09-01 00:00:00

  • Inflammatory and prothrombotic parameters in normotensive non-diabetic obese women: effect of weight loss obtained by gastric banding.

    abstract::Hypertension and diabetes are known risk factors for obesity-related thrombosis, but several studies have shown that obesity is characterised by a potentially prothrombotic inflammatory state because of activated coagulation and impaired fibrinolysis. In order to verify if obese patients-unaffected by hypertension, di...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-011-0522-x

    authors: Cugno M,Castelli R,Mari D,Mozzi E,Zappa MA,Boscolo-Anzoletti M,Roviaro G,Mannucci PM

    更新日期:2012-06-01 00:00:00

  • Can C-reactive protein and white blood cell count alone rule out an urgent condition in acute abdominal pain?

    abstract::Up to 10% of all patients at the Emergency Department present for acute abdominal pain. The C-reactive protein (CRP) and white blood cell (WBC) are routinely determined as part of the workup of patients with abdominal pain. Three large prospective cohort studies comprising a total of 2961 adult patients with acute abd...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-015-1333-2

    authors: Paolillo C,Spallino I,Gruppo di Autoformazione Metodologica (GrAM).

    更新日期:2016-02-01 00:00:00

  • The influence of early-life conditions on cardiovascular disease later in life among ethnic minority populations: a systematic review.

    abstract::Ethnic minority groups are disproportionately affected by cardiovascular diseases (CVDs). The reasons for the high prevalence of CVD in ethnic minority groups are not fully understood. Recently, the importance of early-life developmental factors and their impact on CVDs in adulthood is increasingly being recognised, b...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s11739-015-1272-y

    authors: Bijker R,Agyemang C

    更新日期:2016-04-01 00:00:00

  • Predictors of the early outcome in elderly patients with ST elevation myocardial infarction treated with primary angioplasty: a single center experience.

    abstract::Elderly patients are under-represented in trials assessing strategies of early coronary revascularization in acute myocardial infarction, though they are the fastest growing segment of our population. The aims of the present investigation, performed in 357 elderly (≥75 years) patients with ST elevation myocardial infa...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-010-0459-5

    authors: Lazzeri C,Valente S,Chiostri M,Picariello C,Gensini GF

    更新日期:2011-02-01 00:00:00

  • Endometriosis, need for a multidisciplinary clinical setting: the internist's point of view.

    abstract::Endometriosis is a common condition characterized by proliferation of endometrial tissue outside the uterus, both in the pelvis and in other extra-pelvic sites. The clinical picture of endometriosis is widely heterogeneous. A correct diagnostic work-up of these patients can sometimes be very difficult, since there are...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s11739-010-0404-7

    authors: Montalto M,Santoro L,D'Onofrio F,Gallo A,Campo S,Campo V,Gasbarrini A,Gasbarrini G

    更新日期:2010-12-01 00:00:00

  • Point-of-care ultrasound modalities in terms of diagnosing acute decompensated heart failure in emergency department; a diagnostic accuracy study.

    abstract::This study aimed to compare the diagnostic accuracy of heart, lung and inferior vena cava (IVC) ultrasonography modalities, alone and combined, for possible added accuracy in diagnosing acute decompensated heart failure (ADHF), in a group of patients with the final diagnosis of ADHF based on plasma level of B-type nat...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-019-02233-x

    authors: Farahmand S,Abdolhoseini A,Aliniagerdroudbari E,Babaniamansour S,Baratloo A,Bagheri-Hariri S

    更新日期:2020-04-01 00:00:00

  • Subclinical hyperthyroidism and cardiovascular manifestations: a reevaluation of the association.

    abstract::Subclinical hyperthyroidism (SH) has been reported associated with atrial fibrillation (AF), heart failure (HF) and coronary heart disease events, including mortality. An expert opinion indicates that AF is the possible link between SH and the other important cardiovascular (CV) manifestations. We analyzed the data of...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s11739-013-0913-2

    authors: Carpi A,Cini G,Russo M,Antonelli A,Gaudio C,Galetta F,Franzoni F,Rossi G

    更新日期:2013-04-01 00:00:00

  • Evaluation of community-acquired sepsis by PIRO system in the emergency department.

    abstract::The predisposition, infection/insult, response, and organ dysfunction (PIRO) staging system for septic patients allows grouping of heterogeneous patients into homogeneous subgroups. The purposes of this single-center, prospective, observational cohort study were to create a PIRO system for patients with community-acqu...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-013-0969-z

    authors: Chen YX,Li CS

    更新日期:2013-09-01 00:00:00

  • Prevalence, predictors and prognostic significance of microalbuminuria in acute cardiac patients: a single center experience.

    abstract::The objective of this study was to prospectively assess the prevalence, predictors and prognostic significance of microalbuminuria in a large cohort of consecutive acute cardiac patients, admitted to an intensive cardiac care unit from 1 January 2008 to 30 June 2009. In 815 acute cardiac patients, microalbuminuria is ...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-011-0619-2

    authors: Valente S,Lazzeri C,Chiostri M,Alterini B,Ognibene A,Giglioli C,Pigozzi C,Gensini GF

    更新日期:2013-06-01 00:00:00

  • Diabetes and sex: from pathophysiology to personalized medicine.

    abstract::The prevalence and incidence of diabetes is similar in the two sexes but the long-term impact of diabetes on vascular and non-vascular complications is more gender specific. Men, in comparison with women, seem to be at higher risk for micro-vascular complications, such as severe retinopathy and nephropathy. On the oth...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s11739-012-0804-y

    authors: Abbate R,Mannucci E,Cioni G,Fatini C,Marcucci R

    更新日期:2012-10-01 00:00:00

  • Right ventricular function predicts cardiovascular events in outpatients with stable cardiovascular diseases: preliminary results.

    abstract::Right ventricular (RV) function impacts the outcome in cardiac and pulmonary diseases such as heart failure, pulmonary hypertension, myocardial infarction, valvular, and congenital heart diseases. To our knowledge, simultaneous evaluation of left ventricular (LV) and RV systolic and diastolic echocardiographic indices...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-011-0508-8

    authors: Giovanardi P,Tincani E,Rossi R,Agnoletto V,Bondi M,Modena MG

    更新日期:2012-06-01 00:00:00

  • Safety and efficacy of sucrosomial iron in inflammatory bowel disease patients with iron deficiency anemia.

    abstract::Iron deficiency anemia (IDA) is one of the most common complications of inflammatory bowel disease (IBD). We planned a prospective study to address tolerability and efficacy of sucrosomial iron, a new oral formulation of ferric pyrophosphate, in IBD patients. Thirty patients with a confirmed diagnosis of Crohn's Disea...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-018-1993-9

    authors: Abbati G,Incerti F,Boarini C,Pileri F,Bocchi D,Ventura P,Buzzetti E,Pietrangelo A

    更新日期:2019-04-01 00:00:00

  • Gut microbiota modulation: probiotics, antibiotics or fecal microbiota transplantation?

    abstract::Gut microbiota is known to have a relevant role in our health, and is also related to both gastrointestinal and extradigestive diseases. Therefore, restoring the alteration of gut microbiota represents an outstanding clinical target for the treatment of gut microbiota-related diseases. The modulation of gut microbiota...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s11739-014-1069-4

    authors: Cammarota G,Ianiro G,Bibbò S,Gasbarrini A

    更新日期:2014-06-01 00:00:00

  • The difficulties of polytherapy: examples from antimicrobial chemotherapy.

    abstract::Medical therapy in patients with more than one pathology means using more pharmaceuticals, which results in a higher risk of drug interactions which are modifications in the action of one drug when it is administered in the presence of another. The consequences can be diminished therapeutic effect or increased adverse...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-011-0680-x

    authors: Mazzei T

    更新日期:2011-10-01 00:00:00

  • Management of patients with chronic heart failure and type 2 diabetes mellitus: the SCODIAC-II study.

    abstract::SCODIAC was a pilot study which revealed an increasing use of SGLT2i in 123 outpatients affected with Heart Failure (HF) and Type 2 Diabetes Mellitus. SCODIAC-II study, the second phase of the program, has been carried out to determine diagnostic and therapeutic pathways in a larger group of patients and to verify whe...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-020-02528-4

    authors: De Luca M,Bosso G,Valvano A,Guardasole V,Botta A,Carbone V,Carella G,Del Buono A,Di Giovanni G,Fimiani B,Guarnaccia F,Lapice E,Martedì E,Memoli G,Oliva D,Romano G,Cittadini A,Zito GB,Oliviero U

    更新日期:2020-10-17 00:00:00

  • Prevalence and prognostic impact of left ventricular non-compaction in patients with thalassemia.

    abstract::A high incidence of isolated left ventricular non-compaction (LVNC) has been reported in previous studies on smaller cohorts of patients with thalassemia by cardiac MRI but the clinical impact of the finding is unknown. This prospective cohort study evaluates the prevalence and clinical implication of the finding. Pro...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-019-02114-3

    authors: Bonamini R,Imazio M,Faletti R,Gatti M,Xhyheri B,Limone M,Longo F,Piga A

    更新日期:2019-11-01 00:00:00

  • Supraglottic jet oxygenation and ventilation-assisted fibre-optic bronchoscope intubation in patients with difficult airways.

    abstract::A difficult airway may lead to hypoxia and brain damage. The WEI Nasal Jet Tube (WNJ) is a new nasal pharyngeal tube that applies supraglottic jet oxygenation and ventilation (SJOV) for patients during tracheal intubation without the need for mask ventilation. We evaluated the effectiveness and safety of SJOV-assisted...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-016-1531-6

    authors: Wu C,Wei J,Cen Q,Sha X,Cai Q,Ma W,Cao Y

    更新日期:2017-08-01 00:00:00

  • Relation between admission serum potassium levels and long-term mortality in acute coronary syndrome.

    abstract::Serum potassium homeostasis play an important role in myocardial function, but the impact of serum potassium levels on long-term mortality has not been well evaluated. In the current study, we investigated patients with acute coronary syndrome (ACS) and analyzed the relationship between admission serum potassium level...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-015-1253-1

    authors: Peng Y,Huang FY,Liu W,Zhang C,Zhao ZG,Huang BT,Liao YB,Li Q,Chai H,Luo XL,Ren X,Chen C,Meng QT,Huang DJ,Wang H,Chen M

    更新日期:2015-12-01 00:00:00

  • E-cigarette use is strongly associated with recent smoking cessation: an analysis of a representative population sample in Greece.

    abstract::The purpose was to examine the association between e-cigarette use and smoking cessation according to quit duration in Greece in 2017. A cross-sectional survey of a representative sample of adults living in Attica prefecture was performed in May 2017 through telephone interviews. The present analysis was confined to c...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-018-02023-x

    authors: Farsalinos K,Siakas G,Poulas K,Voudris V,Merakou K,Barbouni A

    更新日期:2019-09-01 00:00:00

  • Upper extremity deep vein thrombosis.

    abstract::Upper extremities deep venous thrombosis (UEDVT) is a rare condition. According to the literature, approximately 4-10% of all cases of venous thrombosis may involve the subclavian, axillary or brachial veins. In the last few decades, the incidence of UEDVT has increased because of more frequent use of central venous c...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s11739-009-0320-x

    authors: Spiezia L,Simioni P

    更新日期:2010-04-01 00:00:00

  • Predictors of hospital readmission 1 year after ischemic stroke.

    abstract::Predictors of short-term readmission after ischemic stroke have been previously identified, but few studies analyzed predictors of long-term readmission, namely early imaging findings and treatment with intravenous thrombolysis (IVT). To characterize predictors of hospital readmission during the first year after hospi...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-016-1519-2

    authors: Leitão A,Brito A,Pinho J,Alves JN,Costa R,Amorim JM,Ribeiro M,Pinho I,Ferreira C

    更新日期:2017-02-01 00:00:00

  • Transjugular intrahepatic portosystemic shunt (TIPS): current indications and strategies to improve the outcomes.

    abstract::Transjugular intrahepatic portosystemic shunt (TIPS) represents a very effective treatment of complications of portal hypertension. Established indications to TIPS in cirrhotic patients include portal hypertensive bleeding and refractory ascites. Over the years additional indications have been proposed, such as the tr...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s11739-019-02252-8

    authors: Vizzutti F,Schepis F,Arena U,Fanelli F,Gitto S,Aspite S,Turco L,Dragoni G,Laffi G,Marra F

    更新日期:2020-01-01 00:00:00

  • Impact of comorbidity on outcome in kidney transplant recipients: a retrospective study in Italy.

    abstract::The aim of this study was to relate in-hospital mortality (IHM), cardiovascular events (CVEs) and non-immunologic comorbidity evaluated on the basis of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codification, in Italian kidney transplant recipients (KTRs). We evaluated IHM...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-016-1438-2

    authors: Fabbian F,De Giorgi A,Manfredini F,Lamberti N,Forcellini S,Storari A,Todeschini P,Gallerani M,La Manna G,Mikhailidis DP,Manfredini R

    更新日期:2016-09-01 00:00:00

  • Correction to: Prognostic influence of prior chronic obstructive pulmonary disease in patients admitted for their first episode of acute heart failure.

    abstract::In the original publication, the given name and family name of the fifth author Dr Margherita Migone De Amicis were incorrectly published. The correct given name and family name should read as 'Margherita' and 'Migone De Amicis', respectively. ...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章,已发布勘误

    doi:10.1007/s11739-018-1921-z

    authors: Londoño KL,Formiga F,Chivite D,Moreno-Gonzalez R,Migone De Amicis M,Corbella X

    更新日期:2018-09-01 00:00:00

  • A simple lung ultrasound protocol for the screening of COVID-19 pneumonia in the emergency department.

    abstract::The most relevant manifestation of coronavirus disease 2019 (COVID-19) is interstitial pneumonia. Several lung ultrasound (US) protocols for pneumonia diagnosis are used in clinical practice, but none has been proposed for COVID-19 patients' screening in the emergency department. We adopted a simplified 6-scan lung US...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-020-02596-6

    authors: Dacrema A,Silva M,Rovero L,Vertemati V,Losi G,Piepoli MF,Sacchi R,Mangiacotti M,Nazerian P,Pagani L,Tinelli V,Poggiali E,Bastoni D,Vercelli A,Magnacavallo A

    更新日期:2021-01-11 00:00:00

  • Amiodarone-related thyroid dysfunction.

    abstract::Nowadays, amiodarone is the most commonly used antidysrhythmic drug in clinical practice. It is highly effective in the management of recurrent ventricular dysrhythmias, paroxysmal supraventricular dysrhythmias, including atrial fibrillation and flutter, and in the maintenance of sinus rhythm after electrical cardiove...

    journal_title:Internal and emergency medicine

    pub_type: 杂志文章

    doi:10.1007/s11739-014-1140-1

    authors: Hudzik B,Zubelewicz-Szkodzinska B

    更新日期:2014-12-01 00:00:00