Cardiac Remodeling in Structure and Function Six Months After Kidney Transplantation
| Autor: | A. Garcia, Luis García-Covarrubias, H. Hinojosa, J.M. Torres, C. Gutierrez, Arturo Reding-Bernal, D. Fernandez, D. Ortuño, Luis Molina, P. Fragoso, O. Bazan, K. Hernández, I. Castro, H. Diliz, J. Barragan, P. Prieto |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Heart Diseases 030232 urology & nephrology Pulmonary insufficiency Renal function 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Prospective Studies Renal Insufficiency Chronic Mexico Kidney transplantation Aged Transplantation Kidney Ejection fraction business.industry Tricuspid insufficiency Middle Aged medicine.disease Prognosis Kidney Transplantation medicine.anatomical_structure Echocardiography Cardiology Surgery Female business Kidney disease |
| Zdroj: | Transplantation proceedings. 50(2) |
| ISSN: | 1873-2623 |
| Popis: | Background Cardiovascular disease accounts for 35% to 50% of the causes of mortality in chronic kidney disease. The majority of patients in substitution therapy in Mexico are subdialyzed owing to limited economic resources. This produces more cardiac deterioration than described in the statistics and has a direct impact on the prognosis of kidney transplantation. The aim of this work was to demonstrate and to quantify the improvement in the echocardiographic parameters 6 months after renal transplantation in patients with stable renal function. Methods This was an observational, analytic, prospective study of 23 patients with chronic kidney disease who received transplants in 2016 and had a glomerular filtration rate ≥80 mL/min (Chronic Kidney Disease–Epidemiology Collaboration) 6 months after transplantation. Results Echocardiographic results showed an increase in the left ventricular ejection fraction from 57.17 ± 10.46% to 64.09 ± 9.8%, an increase in the right ventricular ejection fraction from 0.56 ± 0.09% to 0.60 ± 0.08% and a reduction of the pulmonary arterial systolic pressure from 44.57 ± 13.88 mm Hg to 39.74 ± 11.04 mm Hg. There were also decreases in mitral regurgitation from 1.0 to 0.43, tricuspid insufficiency from 1.35 to 0.43, pulmonary insufficiency from 0.48 to 0.04, and aortic insufficiency from 0.35 to 0.04, all of these significant with P Conclusions There was a significant improvement in cardiovascular function in our population 6 months after transplantation, despite the fact that renal transplantation is performed with greater cardiac deterioration than described in patients in other countries. |
| Databáze: | OpenAIRE |
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