Comparison of the Effects of Dialysis Type on Right Heart Functions in Chronic Renal Failure Patients
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Tarih
2021
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info:eu-repo/semantics/openAccess
Özet
Aim: The aim of this study was to compare the effects of dialysis type on right heart functionswith two-dimensional speckle tracking echocardiography (2D-STE).Material and Methods: A total of 53 patients who have peritoneal dialysis and hemodialysis,applied to cardiology and nephrology outpatient clinics, were included in the study. Those withleft heart failure, coronary artery disease, primary and secondary pulmonary hypertension,pulmonary embolism, deep vein thrombosis, moderate and severe heart valve failure and stenosiswere excluded from the study. Sociodemographic characteristics and biochemical parameters ofthe patients were recorded. Right heart functions of the patients were evaluated using 2D-STE.Results: There was no difference between groups with respect to age (p=0.496), the rate ofmale was higher in hemodialysis group (p=0.006). In comparison of 2D-STE measurements;right atrium (RA) maximum volume and RA minimum volume were significantly higher inhemodialysis patients (p=0.006, p=0.007, respectively). There were no difference between thegroups in RA maximum volume index, RA minimum volume index and tricuspid annular planesystolic excursion (TAPSE). RAS strain and RAA strain were significantly lower inhemodialysis patients (p=0.001, p=0.012, respectively). A positive correlation was foundbetween TAPSE and RA maximum volume in hemodialysis patients (r=0.484, p=0.036), andbetween TAPSE and RA minimum volume in peritoneal dialysis patients (r=0.486, p=0.025).Conclusion: Right ventricular functions were found to be similar in peritoneal dialysis andhemodialysis patients. It was observed that right atrial functions were better protected inperitoneal dialysis patients than hemodialysis patients.
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23
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1