Study of Respiratory Variations of Mitral Valve Diastolic Flow in Hemodialysis Patients.

Autor: Abdelrehim, Ahmad B., Ahmed, Ahmed Abdel Haleem, Elgendi, Salwa Salah, Ibrahim, Walaa H.
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Zdroj: Angiology; Apr2024, Vol. 75 Issue 4, p359-366, 8p
Abstrakt: The respiratory variations in mitral valve (MV) Doppler flow in hemodialysis (HD) patients have not been investigated and the normal echocardiographic value is used as a reference for HD patients. The present study evaluated the respiratory variation in MV Doppler flow in HD patients to determine if it has a unique pattern. In this prospective cohort study, echocardiography was performed before and 6 h after dialysis. The transmitral spectral Doppler E wave was measured during inspiratory and expiratory phases. The percent changes in the E wave were calculated pre- and post-dialysis. The means of the percent variation in the MV inspiratory and expiratory E wave pre- and post-dialysis were 56 ± 7% and 44 ± 1.1%, respectively, with a significant reduction after dialysis (P =.000). There was a significant positive correlation between post-dialysis ∆E wave % change and post-dialysis % change in weight (r =.318; P =.000). The respiratory changes in the MV E wave in HD patients were higher than the normal reference values. This marked variation could be explained by fluid overloading in HD patients. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index