Document Detail


Preload and flow propagation velocity: insight into patients with uremia and different left ventricular systolic function.
MedLine Citation:
PMID:  16376751     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: The aim of this study was to investigate the changes of flow propagation velocity (FPV) after regular hemodialysis (H/D) in patient who were uremic with different baseline left ventricular (LV) functions. METHODS: In all, 24 patients with uremia and abnormal LV systolic function were enrolled in this study and 30 patients with uremia and normal LV systolic performance served as the control group. All patients had in sinus rhythm and underwent a comprehensive transthoracic echocardiographic examination and mitral FPV by color M-mode echocardiography before and after H/D. RESULTS: The decline in FPV before H/D was proportional to the decline in the baseline LV function, whereas FPV after H/D varied according to the LV ejection fraction. An obvious decrement of FPV for patients with normal LV systolic function was noted, but no obvious difference was seen for patients with abnormal LV systolic function. CONCLUSION: FPV was strongly preload dependent for patients with normal LV systolic function. It was not significantly influenced by preload for patients with abnormal LV systolic function. FPV is a relatively good diastolic parameter for investigating patients with LV systolic dysfunction.
Authors:
Shih-Hung Hsiao; Wei-Chen Huang; Tao Yu Lee; Cheng Len L Sy; Shih-Kai Lin; Chun-Peng Liu
Publication Detail:
Type:  Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  18     ISSN:  1097-6795     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-12-26     Completed Date:  2006-04-20     Revised Date:  2007-11-02    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1254-9     Citation Subset:  IM    
Affiliation:
Division of Cardiology, Internal Medicine Department, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, Republic of China.
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MeSH Terms
Descriptor/Qualifier:
Blood Flow Velocity
Blood Pressure
Coronary Circulation
Echocardiography / methods*
Female
Humans
Male
Middle Aged
Renal Dialysis*
Reproducibility of Results
Sensitivity and Specificity
Severity of Illness Index
Stroke Volume*
Treatment Outcome
Uremia / complications,  therapy*,  ultrasonography*
Ventricular Dysfunction, Left / etiology,  therapy*,  ultrasonography*

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


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