Echocardiographic Assessment of Cardiac Structural and Functional Abnormalities in Patients With End-Stage Renal Disease Receiving Chronic Hemodialysis

Echocardiographic Assessment of Cardiac Structural and Functional Abnormalities in Patients With End-Stage Renal Disease Receiving Chronic Hemodialysis

Background:The aim of this study was to assess the echocardiographic characteristics of chronic hemodialysis (HD) patients with end-stage renal disease (ESRD) in a multicenter prospective cohort study.Methods and Results:Three hundred and fifteen patients with ESRD (67.9±10.6 years, 47.6% male) on c...

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Veröffentlicht in:Circulation Journal 2018/01/25, Vol.82(2), pp.586-595
Hauptverfasser: Matsuo, Hiroshi, Dohi, Kaoru, Machida, Hirofumi, Takeuchi, Hideyuki, Aoki, Toshikazu, Nishimura, Hiroyuki, Yasutomi, Masashi, Senga, Michiharu, Ichikawa, Takehiko, Kakuta, Kentaro, Mizutani, Yasuhide, Tanoue, Akiko, Isaka, Naoki, Oosugi, Kazuki, Koyabu, Sukenari, Sakurai, Masato, Fukui, Yoshihisa, Kakimoto, Hitoshi, Sugimoto, Tadafumi, Ohnishi, Takahiro, Murata, Tomohiro, Ishikawa, Eiji, Okamoto, Ryuji, Yamada, Tomomi, Ogura, Toru, Nishimura, Yuki, Tanigawa, Takashi, Nomura, Shinsuke, Nishikawa, Masakatsu, Ito, Masaaki
Format: Artikel
Sprache:eng
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Aged
Aortic valve sclerosis
Aortic Valve Stenosis
Calcinosis
Echocardiography
Echocardiography - methods
End-stage renal disease
Heart Defects, Congenital - diagnostic imaging
Hemodialysis
Humans
Kidney Failure, Chronic - complications
Left ventricle
Middle Aged
Mitral Valve - pathology
Parathyroid Hormone - blood
Prospective Studies
Renal Dialysis
Risk Factors
Ventricular Function, Left
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Zusammenfassung:Background:The aim of this study was to assess the echocardiographic characteristics of chronic hemodialysis (HD) patients with end-stage renal disease (ESRD) in a multicenter prospective cohort study.Methods and Results:Three hundred and fifteen patients with ESRD (67.9±10.6 years, 47.6% male) on chronic HD for ≥1 year were examined on transthoracic echocardiography, including Doppler-derived aortic valve area (AVA) measurement. Only 11.5% and 3.4% of all patients had normal left ventricular (LV) geometry and normal LV filling pattern, respectively. The majority of patients had aortic and mitral valvular calcification, and approximately 50% of all 315 patients had aortic valve narrowing with AVA
ISSN:1346-9843
1347-4820
1347-4820
DOI:10.1253/circj.CJ-17-0393