Document Detail

Echocardiographic evaluation of the effect of hemodialysis on cardiac size and function in patients with end-stage renal disease.
MedLine Citation:
PMID:  161478     Owner:  NLM     Status:  MEDLINE    
Twelve stable patients with end-stage renal failure maintained on hemodialysis were studied by echocardiography before and after dialysis. The left ventricular (LV) end-diastolic wall thickness, interventricular septal thickness and LV mass were increaed suggesting concentric LV hypertrophy. The LV end-diastolic and end-systolic volumes, and cardiac output were increased before dialysis. Aortic root dimensions, aortic valve opening, left atrium, LV wall and septal excursions and per cent LV internal diameter shortening were normal before dialysis. Some pericardial effusion was found in 50% of the patients without any symptoms or signs. With dialysis the systolic and diastolic volumes and dimensions of the left ventricle and atrium decreased significantly as did the stroke volume. These changes were associated with a significant reduction of body weight, and thereby blood volume, induced by dialysis. The cardiac output remained unchanged despite significant reduction in the stroke volume due to an increase in heart rate.
N D Vaziri; R Prakash
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of the medical sciences     Volume:  278     ISSN:  0002-9629     ISO Abbreviation:  Am. J. Med. Sci.     Publication Date:    1979 Nov-Dec
Date Detail:
Created Date:  1980-05-14     Completed Date:  1980-05-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370506     Medline TA:  Am J Med Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  201-6     Citation Subset:  AIM; IM    
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MeSH Terms
Cardiac Volume
Cardiomegaly / etiology*
Heart / physiopathology*
Kidney Failure, Chronic / physiopathology,  therapy*
Middle Aged
Myocardial Contraction
Pericardial Effusion / etiology
Renal Dialysis*
Stroke Volume

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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