Pulmonary hypertension in patients on chronic hemodialysis and with heart failure
| Autor: | Chin-wen Hsieh, Chun-chuan Chen, Hao-huan Hu, Li-ping Hsu, Chien-te Lee, Jung-chou Wu |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Acute decompensated heart failure business.industry medicine.medical_treatment Hazard ratio 030232 urology & nephrology Hematology Odds ratio 030204 cardiovascular system & hematology medicine.disease Pulmonary hypertension 03 medical and health sciences 0302 clinical medicine Nephrology medicine.artery Heart failure Internal medicine Pulmonary artery medicine Cardiology Hemodialysis business Kidney disease |
| Zdroj: | Hemodialysis International. 20:208-217 |
| ISSN: | 1492-7535 |
| DOI: | 10.1111/hdi.12380 |
| Popis: | Pulmonary hypertension (PH) is linked to chronic kidney disease. However, few studies have examined the prevalence, risk factors, or outcomes of PH in patients with chronic hemodialysis and concomitant heart failure. This retrospective cohort study enrolled 160 patients with a history of acute decompensated heart failure after maintenance hemodialysis therapy. All patients were prospectively observed until December 2013 or death. PH was defined as pulmonary artery systolic pressure >35 mmHg, as determined through echocardiography. Fifty-one (32%) patients had PH, more of whom were female (70% vs. 52%, P = 0.04). The patients with PH had a lower body mass index (21.8 vs. 23.0, P = 0.03), higher cardiothoracic ratio (55% vs. 52%, P = 0.006), larger left atrium (38.5 vs. 35.7 mm, P��= 0.01), and an increased proportion of mitral regurgitation (MR) (73% vs. 38%, P |
| Databáze: | OpenAIRE |
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