[Effect of homocysteine on left ventricular structural and functional parameters in patients on programmed hemodialysis].

Abstract:

AIM:To determine the effect of plasma homocysteine (Hc) on the structure and function of the left ventricle (LV) in patients treated by programmed hemodialysis. SUBJECTS AND METHODS:109 patients on programmed hemodialysis were examined. Blood Hc levels were determined and echocardiography was performed in all the patients. RESULTS:In the patients on programmed hemodialysis, Hc concentrations were significantly higher than in apparently healthy individuals; there was a preponderance of mild (49.5%) and moderate (43.1%) hyperhomocysteinemia. LV hypertrophy was diagnosed in 90.8% of the patients. A positive relationship was found between the concentrations of Hc and the E/A ratio (r = 0.34; p = 0.05), isovolumetric relaxation time (IRT) (r = 0.32; p = 0.03), and LV mass (LVM) (r = 0.3; p = 0.05). Multivariate regression analysis indicated that the level of Hc had an independent impact on the E peak (R2 = 0.3; p = 0.05), LV relative wall thickness (RWT) (R2 = 0.38; p = 0.03), and LV IRT (R2 = 0.3; p = 0.06). CONCLUSION:Elevated plasma Hc levels were found to be related to LVM, LV RWT, LV IRT, E peak, and E/A ratio, suggesting that Hc had an unfavorable effect on the LV structure and function in patients on hemodialysis.

journal_name

Ter Arkh

journal_title

Terapevticheskii arkhiv

authors

Kharlamova UV,Il'icheva OE

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

90-3

issue

3

eissn

0040-3660

issn

2309-5342

journal_volume

85

pub_type

杂志文章
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    doi:

    authors: Tabak'ian EA,Dmitriev VV,Masenko VP,Kukharchuk VV

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    doi:

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  • Clinical observation of a combination of diffuse alveolar-septal pulmonary lesion and amyloid cardiomyopathy in systemic AL-amyloidosis in the elderly.

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    doi:

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    authors: Vorob'eva TA,Salupere VP,Uĭbo RM

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  • [Experience with using high doses of cerebrolysin in vascular dementia].

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    更新日期:1996-01-01 00:00:00

  • [Mobilization of peripheral blood cells for auto- and allogenic transplantations of hemopoietic cells].

    abstract:AIM:To study mobilisation of peripheral blood stem cells (PBSC) via single and split subcutaneous injection of granulocytic colony-stimulating factor (G-CSF) and isolation of PBSC concentrates for their transplantation with leukapheresis (LA) and large volume leukapheresis (LVL) in patients with solid tumors and hemato...

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  • [Clinico-functional characteristics of stenocardia and the effectiveness of its treatment with nitrong and erinit].

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    doi:

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  • [Renal transplantation in recipients with moderate presensitization].

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  • [Use of NMR tomography in clinical practice].

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    doi:

    authors: Belenkov IuN,Ternovoĭ SK,Shmyrev VI,Mironov NV,Knorin EA

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    doi:

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  • [Clinical aspects of acute and chronic respiratory syncytial virus infection in adult polyclinic patients].

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  • [Immunological and rheological disorders in multiple myeloma patients].

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  • [Comparison of clinical-metabolic efficacy of pre- and probiotics in the conducted optimized protocols of eradication therapy of Helicobacter pylori infection].

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    pub_type: 杂志文章

    doi:

    authors: Iakovlev VM,Nechaeva GI,Viktorova IA

    更新日期:1990-01-01 00:00:00

  • [Possibility of complex medicamental and endovascular treatment of pulmonary hypertension in Takayasu arteritis with predominant pulmonary arteries' lesion].

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    doi:

    authors: Amatuni VG,Malaian KL,Zakaharian AK

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