Assessments of left ventricular systolic and diastolic functions with tissue Doppler imaging and myocardial performance index in children with chronic kidney disease.

Autor: Kizilca O; Department of Pediatric Cardiology, Medical Faculty of Dokuz Eylul University, Izmir, Turkey., Ozmen D; Department of Pediatric Nephrology, Medical Faculty of Dokuz Eylul University, Izmir, Turkey., Bahaettin Öncü S; Department of Pediatric Cardiology, Medical Faculty of Dokuz Eylul University, Izmir, Turkey., Zihni C; Department of Pediatric Cardiology, Medical Faculty of Dokuz Eylul University, Izmir, Turkey., Kir M; Department of Pediatric Cardiology, Medical Faculty of Dokuz Eylul University, Izmir, Turkey., Soylu A; Department of Pediatric Nephrology, Medical Faculty of Dokuz Eylul University, Izmir, Turkey., Unal N; Department of Pediatric Cardiology, Medical Faculty of Dokuz Eylul University, Izmir, Turkey., Kavukcu S; Department of Pediatric Nephrology, Medical Faculty of Dokuz Eylul University, Izmir, Turkey.
Jazyk: angličtina
Zdroj: Pediatrics international : official journal of the Japan Pediatric Society [Pediatr Int] 2021 Dec; Vol. 63 (12), pp. 1483-1489. Date of Electronic Publication: 2021 Oct 06.
DOI: 10.1111/ped.14705
Abstrakt: Background: This study aimed to document early left ventricular (LV) dysfunction in chronic kidney disease (CKD) using methods such as tissue Doppler imaging and the myocardial performance index (MPI).
Methods: A total of 40 patients diagnosed with CKD (mean age, 10.1 ± 4.1 years) and 40 sex- and age-matched healthy controls (mean age, 9.6 ± 4.3 years) were examined. In the patient group, 20 patients had early stage (Stage 2-3) CKD and 20 patients had late-stage (stage 4-5) CKD, and 18 patients had hypertension.
Results: The pulmonary artery systolic pressure (PAPs) and LV mass index (LVMI) were significantly higher in the patient group (P < 0.05). The LV septal and lateral margins of the mitral annulus E'/A' ratio, E/E' ratio and MPI results were significantly different between the groups (P < 0.05). The MPI scores were higher in late-stage CKD than in early stage CKD (P < 0.05). The E'/A' ratio was lower and the MPI was higher in the hypertensive CKD group compared with the normotensive CKD group (P < 0.05). The E/E' ratio was correlated positively with the LVMI, and the PAPs, and negatively with glomerular filtration rate, S' value, E'/A' ratio. The MPI was correlated positively with blood pressure, LVMI, PAPs, and the S value, and negatively with the E'/A' ratio.
Conclusions: The E'/A' ratio, the E/E' ratio, and the isovolumetric relaxation time measured by tissue Doppler imaging is highly accurate and easily applicable for detecting diastolic LV function, and the MPI is suitable for detecting both systolic and diastolic LV dysfunction. Their routine use may be useful in evaluating LV functions in children with CKD.
(© 2021 Japan Pediatric Society.)
Databáze: MEDLINE
Externí odkaz: