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논문 기본 정보

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학술저널
저자정보
Bong‑Joon Kim (Division of Cardiology, Department of Internal Medicine, Kosin University College of Medicine, Gospel Hospital) Su‑Hyun Bae (Division of Cardiology, Department of Internal Medicine, Kosin University College of Medicine, Gospel Hospital) Soo‑Jin Kim (Division of Cardiology, Department of Internal Medicine, Kosin University College of Medicine, Gospel Hospital) Sung‑Il Im (Division of Cardiology, Department of Internal Medicine, Kosin University College of Medicine, Gospel Hospital) Hyunsu Kim (Division of Cardiology, Department of Internal Medicine, Kosin University College of Medicine, Gospel Hospital) Jung‑Ho Heo (Division of Cardiology, Department of Internal Medicine, Kosin University College of Medicine, Gospel Hospital) Ho Sik Shin (Division of Nephrology, Department of Internal Medicine, Kosin University College of Medicine, Gospel Hospital) Ye Na Kim (Division of Nephrology, Department of Internal Medicine, Kosin University College of Medicine, Gospel Hospital) Yeonsoon Jung (Division of Nephrology, Department of Internal Medicine, Kosin University College of Medicine, Gospel Hospital) Hark Rim (Division of Nephrology, Department of Internal Medicine, Kosin University College of Medicine, Gospel Hospital)
저널정보
한국심초음파학회 Journal of Cardiovascular Imaging Journal of Cardiovascular Imaging 제32권
발행연도
2024.6
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6 - 6 (1page)

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Background Patients with end-stage renal disease (ESRD) who are on hemodialysis (HD) have reduced vascular compliance and are likely to develop heart failure (HF). In this study, we estimated the prevalence of HF pre- and post-HD in ESRD using the current guidelines. Methods We prospectively investigated HF in ESRD patients on HD using echocardiography pre- and post-HD. We used the structural and functional abnormality criteria of the 2021 European Society of Cardiology guidelines. Results A total of 54 patients were enrolled. The mean age was 62.6 years, and 40.1% were male. Forty-five patients (83.3%) had hypertension, 28 (51.9%) had diabetes, and 20 (37.0%) had ischemic heart disease. The mean N-terminalpro brain natriuretic peptide BNP (NT-proBNP) level was 12,388.8 ± 2,592.2 pg/dL. The mean ideal body weight was 59.3 kg, mean hemodialysis time was 237.4 min, and mean real filtration was 2.8 kg. The mean left ventricular ejection fraction (LVEF) was 62.4%, and mean left ventricular end-diastolic diameter was 52.0 mm in pre-HD. Post-HD echocardiography showed significantly lower left atrial volume index (33.3 ± 15.9 vs. 40.6 ± 17.1, p = 0.030), tricuspid regurgitation jet V (2.5 ± 0.4 vs. 2.8 ± 0.4 m/s, p < 0.001), and right ventricular systolic pressure (32.1 ± 10.3 vs. 38.4 ± 11.6, p = 0.005) compared with pre-HD. There were no differences in LVEF, E/E′ ratio, or left ventricular global longitudinal strain. A total of 88.9% of pre-HD patients and 66.7% of post-HD patients had either structural or functional abnormalities in echocardiographic parameters according to recent HF guidelines (p = 0.007). Conclusions Our data showed that the majority of patients undergoing hemodialysis satisfy the diagnostic criteria for HF according to current HF guidelines. Pre-HD patients had a 22.2% higher incidence in the prevalence of functional or structural abnormalities as compared with post-HD patients.
#End-stage renal disease #Hemodialysis #Heart failure #Diagnosis

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