CHANGES OF SYSTOLIC PULMONARY ARTERY PRESSURE BY ECHOCARDIOGRAPHY IN END-STAGE RENAL DISEASE PATIENTS BEFORE AND AFTER KIDNEY TRANSPLANTATION
Main Article Content
Abstract
Objective: Evaluating change of systolic pulmonary artery pressure (SPAP) by echocardiography in end-stage renal disease patients before and 1 month after kidney transplantation. Subjects and methods: This was cross-sectional study. 37 patients with stage 5 chronic kidney disease who underwent kidney transplant at 103 Military Hospital from November, 2022 to May, 2023. Performing echocardiography to evaluate change of SPAP before and 1 month after kidney transplantation. Results: The SPAP of control, before, after kidney transplantation group: 19.38 ± 5.14 mmHg, 24.97 ± 7.96 mmHg, 21.84 ± 5.04 mmHg, respectively. Pulmonary arrterial systolic hypertension (PASH) was 8.1%, all of these patients were underwent hemodialysis. There were no case of PASH in after kidney transplantation group. Conclusions: The findings of this study showed that the SPAP in end-stage renal disease patients were higher than the control group. Compared to pre-transplant values, a significant decrease was observed in mean SPAP values of 1 month-postoperative follow up.
Article Details
Keywords
Chronic Kidney Disease, Kidney transplantation, Echocardiography.
References
2. Vũ Ngọc Thắng, Lê Anh Tuấn (2022). Đánh giá một số đặc điểm thận ghép và mạch máu của thận ghép từ người cho sống tại Bệnh viện Quân y 103. Tạp Chí Học Việt Nam, 516.
3. Bolignano D., Pisano A., Coppolino G., et al. (2019). Pulmonary Hypertension Predicts Adverse Outcomes in Renal Patients: A Systematic Review and Meta-Analysis. Ther Apher Dial, 23(4), 369–384.
4. Bolignano D., Rastelli S., Agarwal R., et al. (2012). Pulmonary Hypertension in CKD. Am J Kidney Dis Off J Natl Kidney Found, 61.
5. Brinza C., Covic A., Stefan A., et al. (2022). Pulmonary Arterial Hypertension and Adverse Outcomes after Kidney Transplantation: A Systematic Review and Meta-Analysis. J Clin Med, 11, 1944.
6. Brugger N., Lichtblau M., Maeder M., et al. (2021). Two-dimensional transthoracic echocardiography at rest for the diagnosis, screening and management of pulmonary hypertension. Swiss Med Wkly, 151.
7. Khani M., Tara A., Shekarkhar S., et al. (2020). Effect of kidney transplantation on right ventricular function, assessment by 2- dimensional speckle tracking echocardiography. Cardiovasc Ultrasound, 18(1), 16.
8. Tamulenaite E., Zvirblyte R., Virsinskaite R., et al. (2018). Changes of Left and Right Ventricle Mechanics and Function in Patients with End-Stage Renal Disease Undergoing Haemodialysis. Medicina (Mex), 54, 87.