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Date Published: 19/02/2023
Abstract Views: 163
Views PDF: 138
DOI: https://doi.org/10.51298/vmj.v522i2.4348
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Vol. 522 No. 2 (2023)
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Các bài báo
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Trịnh , T. B. ., Nguyễn, H. D., & Đỗ , K. B. (2023). TO EVALUATE THE CHANGE IN LEFT VENTRICULAR SYSTOLIC AND DIASTOLIC FUNCTION AFTER DIALYSIS IN PATIENTS WITH CYCLIC HEMODIALYSIS. Vietnam Medical Journal, 522(2). https://doi.org/10.51298/vmj.v522i2.4348

TO EVALUATE THE CHANGE IN LEFT VENTRICULAR SYSTOLIC AND DIASTOLIC FUNCTION AFTER DIALYSIS IN PATIENTS WITH CYCLIC HEMODIALYSIS

Thái Bảo Trịnh 1,, Hữu Dũng Nguyễn2, Kim Bảng Đỗ 3
1 Medical Center of Que Vo District, Bac Ninh Province
2 Bach Mai hospital
3 Vietnam national heart institute

Main Article Content

Abstract

Objective: Hemodialysis can affect the hemodynamics and cardiac function of patients with cyclic hemodialysis. Our study aimed to evaluate the change in left ventricular systolic and diastolic function after dialysis in patients with cyclic hemodialysis at Bach Mai Hospital. Subjects and methods: A cross-sectional descriptive study. There were 61 patients with cyclic hemodialysis (n=61) includes in the study. All patients participating in the study were asked about their disease, clinical examination, and echocardiography before and after dialysis. Results: The average age of the study subjects was 51,5 ± 12,2 years old, of which 31 men accounted for 50,8 %. After dialysis, there was a significant decrease in left ventricular end-systolic volume (Vs, 41,7 ± 23,3 ml vs 36,4 ± 21,1ml, p < 0,05) and left ventricular end-diastolic volume (Vd, 118,7 ± 31,3 ml vs 111.0 ± 31.4 ml, p < 0,05), left ventricular ejection fraction was not significantly improved. E wave velocity (89,9 ± 24,1 vs 71,9 ± 24,4 m/s) decreased statistically significantly compared to pre-dialysis with p< 0.0001. Meanwhile, the A wave velocity (96.3 ± 29.0 vs 96.2 ± 29.7 m/s) change insignificantly and there was almost no statistical difference between before and after dialysis with p > 0,05. E/A ratio (1.01 ± 0.4 vs 0.82 ± 0.45, p < 0,05) and mean E/e’ ratio (12.4 ± 4.7 vs 10.6 ± 4,3, p < 0,0001) significantly decreased after dialysis. The flow velocity through the tricuspid valve did not change significantly after dialysis (VmaxTR, 2.5 ± 0.4 vs 2.4 ± 0.4 m/s, p> 0,05). After dialysis, the left atrial volume index decreased significantly compared with before dialysis (LAVi, 42.8 ± 14.8 vs 36.5 ± 14.3 ml/m2) with p < 0,0001. Conclusion: Echocardiographic assessment of left ventricular systolic and diastolic function had a statistically significant improvement between before and after dialysis. This difference is related to the volume of hemodialysis during that dialysis session.

Article Details

Keywords

End stage kidney disease, hemodialysis, echocardiography, systolic function, díatolic function

References

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