Document Detail


Longitudinal changes in parameters of cardiovascular function in patients treated for 8 years with hemodialysis or peritoneal dialysis.
MedLine Citation:
PMID:  17886605     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiovascular complications are obviously important in the management of dialysis patients, and ultrasonography can be used to evaluate cardiac indices that can predict these complications. However, long-term longitudinal changes in ultrasonographic cardiovascular indices in dialysis patients are not well known. Also, the implications of lipid metabolism for cardiovascular change in dialysis patients is controversial. We therefore analyzed ultrasonographic cardiac parameters and laboratory data for lipid metabolism in patients who had been on peritoneal dialysis (PD) or hemodialysis (HD) for 8 years and also in patients who had been on PD for 4 years followed by another 4 years on HD. We found that lipid metabolism was worse but that cardiovascular indices were more stable over time in PD patients than in HD patients. Mean blood pressure was also better maintained in PD patients. These results indicate that cardiovascular function can be maintained in PD patients over the long term, given that blood pressure is controlled even though dyslipidemia worsens.
Authors:
Takeyuki Hiramatsu; Shinji Furuta; Hironobu Kakuta
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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:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9104803     Medline TA:  Adv Perit Dial     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  62-5     Citation Subset:  IM    
Affiliation:
Department ofNephrology, Aihoku Hospital, Aichi, Japan. t-hiramatsu@aihoku.jaaikosei.or.jp
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure
Body Mass Index
Cardiovascular Physiological Phenomena*
Echocardiography
Humans
Hypertrophy, Left Ventricular / etiology,  ultrasonography
Lipids / blood
Longitudinal Studies
Neck / blood supply
Peritoneal Dialysis*
Renal Dialysis*
Tunica Intima / ultrasonography
Tunica Media / ultrasonography
Chemical
Reg. No./Substance:
0/Lipids

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


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