Document Detail


Impact of dialysis modality on ultrasonographic cardiovascular parameters in elderly patients.
MedLine Citation:
PMID:  17886611     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiovascular complications are the major cause of mortality in end-stage renal disease (ESRD) patients. Some reports show that ultrasonographic parameters for cardiovascular remodeling predict mortality in ESRD patients as well as in the general population. In the present study, we compared long-term longitudinal changes in cardiac parameters between elderly patients on peritoneal dialysis (PD) and those on hemodialysis (HD). We analyzed 19 HD and 7 PD patients who were more than 75 years old at the start of dialysis and who had been treated with the same dialysis modality for more than 4 years. We compared ultrasonographic cardiovascular parameters such as left ventricular mass index (LVMI), left ventricular wall thickness (LVWT), intima media thickness and intima media area (IMA) over the 4 years of PD and HD treatment. As compared with values at the start of dialysis, values for LVMI, LVWT, and IMA were significantly elevated in HD patients after 4 years of treatment. In PD patients, we observed no changes in those parameters over time. Our findings indicate that cardiovascular remodeling is liable to deteriorate in elderly patients on HD, but that cardiac parameters in PD patients remain rather stable.
Authors:
Takeyuki Hiramatsu; Shinji Furuta; Hironobu Kakuta
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Advances in peritoneal dialysis. Conference on Peritoneal Dialysis     Volume:  23     ISSN:  1197-8554     ISO Abbreviation:  Adv Perit Dial     Publication Date:  2007  
Date Detail:
Created Date:  2007-09-24     Completed Date:  2007-11-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9104803     Medline TA:  Adv Perit Dial     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  94-7     Citation Subset:  IM    
Affiliation:
Department of Nephrology, Aihoku Hospital, Aichi, Japan. t-hiramatsu@aihoku.jaaikosei.or.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Humans
Hypertrophy, Left Ventricular / etiology,  ultrasonography*
Kidney Failure, Chronic / complications*,  therapy
Neck / blood supply*
Peritoneal Dialysis*
Renal Dialysis*
Tunica Intima / ultrasonography*
Tunica Media / ultrasonography*

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


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