Heart function disturbances in chronic kidney disease – echocardiographic indices

摘要: Introduction: In chronic kidney disease (CKD) patients left ventricular (LV) diastolic dysfunction occurs frequently and is associated with heart failure (HF) higher mortality. Left systolic coronary artery (CAD) a major determinant of prognosis. The aim this study was to assess indices LV in CKD patients. Material methods: Study included 118 All underwent transthoracic echocardiography. Diastolic function based on E A, E/A ratio pulmonary vein flow velocities as well EF%, deceleration time, RA, LA volume were assessed. dialysis examination carried out before after dialysis. Results: the stage renal significant increase mass (268.0 ±47.6 I/II vs. 432.7 ±122.4 V/dialysis, p < 0.0001), (37.3 ±4.5 51.2 ±8.9, 0.0001) (CKD I–II 44.7 ±4.1 III 48.5 ±6.7 IV 47.1 ±5.6; = 0.004) dimensions size (40.4 ±2.0 41.9 ±2.7 42.3 ±3.2 44.8 ±3.1; 0.0001). E/E’ ratio between groups (6.7 ±1.5 8.9 ±2.4 11.5 ±4.0 13.5 ±5.0; seen study. reduction time (247.2 ±34.5 I/ II 197.4 ±61.0 IV, 0.0005) along decrease estimated glomerular filtration rate also observed Conclusions: Early identification factors involved necessary prevent devastating process. Many indexes contractility are used each them has imperfections. It seems that TVI, E, E/A and good instruments for early detection hypertrophy dysfunction.