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Assessment of right ventricular systolic function in patients with chronic renal failure before and after hemodialysis by means of various echocardiographic modalities      
Yazarlar
Abdurrahman Akyuz
Prof. Dr. Abdulkadir YILDIZ
Dicle Üniversitesi, Türkiye
Mehmet Ata Akıl
Mehmet Zihni Bilik
Ümit İnci
Fethullah Kayan
İsmail Yıldız
Zülfikar Yılmaz
Yasar Yıldırım
Mehmet Sıddık Ulgen
Özet
Objectives: The goal of the study was to determine the effect of decreased preload on right ventricular systolic function, as measured by new and old echocardiographic parameters in chronic renal failure (CRF) patients. Study design: A total of 30 CRF patients (mean age 48±15 years, 11 male and 19 female) undergoing hemodialysis were included in the study. Echocardiography was used to determine left ventricular ejection fraction (LVEF), left atrial volume, right atrial area, right ventricular end-diastolic area, systolic pulmonary artery pressure, right ventricular fractional area change (RV FAC), right ventricular myocardial performance index (Tei index), right ventricular tissue Doppler S' (RV S') velocity, isovolumic myocardial acceleration (IVA), tricuspid annular plane systolic excursion (TAPSE) and right ventricular outflow tract systolic excursion (RVOT SE) before and after hemodialysis. Results: The RV S' velocity and RVOT SE parameters, which are indicators of right ventricular systolic function, did not change significantly after hemodialysis (p=0.919, p=0.186). However, the RV FAC, Tei index, IVA and TAPSE values were significantly increased (p<0.001 for all). TAPSE was found to be the only parameter that had a positive correlation with the amount of fluid removed (p=0.041 and r=0.375). Conclusion: Although RV S' velocity and RVOT SE, was found to be independent of preload, RV FAC, Tei index, IVA and TAPSE values were dependent on preload. In addition, TAPSE correlated with the amount of fluid removed.
Anahtar Kelimeler
Echocardiography,hemodialysis,chronic renal failure,right ventricular systolic function
Makale Türü Özgün Makale
Makale Alt Türü Ulusal alan endekslerinde (TR Dizin, ULAKBİM) yayımlanan tam makale
Dergi Adı Turk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of Cardiology
Dergi ISSN 1016-5169
Dergi Tarandığı Indeksler EMBASE (Excerpta Medica), TÜBİTAK ULAKBİM, Türk Tıp Dizini, lndex Copernicus, lndex Medicus, PubMed, MEDLINE
Makale Dili Türkçe
Basım Tarihi 01-2014
Cilt No 42
Sayı 8
Sayfalar 717 / 725
Doi Numarası 10.5543/tkda.2014.57609
Makale Linki http://archivestsc.com/jvi.aspx?un=TKDA-57609