Evaluation of Markers to Estimate Volume Status in Hemodialysis Patients: Atrial Natriuretic Peptide, Inferior Vena Cava Diameter, Blood Volume Changes and Filtration Coefficients of Microvasculature

2007 ◽  
Vol 11 (2) ◽  
pp. 131-137 ◽  
Author(s):  
Masatomo Yashiro ◽  
Tadashi Kamata ◽  
Noriko Yamadori ◽  
Mayumi Tomita ◽  
Eri Muso
Author(s):  
Tetsuo Hatanaka ◽  
Rokuro Shiba ◽  
Michihiko Fukui ◽  
Masami Yoshioka ◽  
Eiichi Chihara ◽  
...  

2016 ◽  
Vol 44 (12) ◽  
pp. 114-114
Author(s):  
Jonathan Praeger ◽  
David Inouye ◽  
Michael Hayashi ◽  
Ellie Cohen ◽  
Danny Takanishi ◽  
...  

2015 ◽  
Vol 33 (3) ◽  
pp. 433-438 ◽  
Author(s):  
Nalan Gökçe Çelebi Yamanoğlu ◽  
Adnan Yamanoğlu ◽  
İsmet Parlak ◽  
Pelin Pınar ◽  
Ali Tosun ◽  
...  

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Xiushui Ren ◽  
Sherry Williams ◽  
Alexander Flint ◽  
Charles Feldman ◽  
Sharon Windust ◽  
...  

Background: It is difficult to assess volume status in patients with end-stage renal disease (ESRD) undergoing hemodialysis (HD). The euvolemic state (dry weight) in ESRD patients is determined clinically but has limitations. We hypothesized that a combination of ventricular interdependence (VI)_the physiologic phenomenon whereby filling of one ventricle is affected by filling of the contralateral ventricle during different phases of the respiratory cycle_and inferior vena cava diameter (IVCd) predicts volume status in ESRD patients undergoing HD. Methods: Echocardiograms were performed in 20 patients immediately pre- and post-HD. Clinical assessment of volume status was performed by a single nephrologist blinded to echocardiographic data. VI was defined as peak expiratory to inspiratory mitral inflow E velocity ratio. Hypovolemia was defined as IVCd 20 mm and VI >15%. Results: 65% of patients were men, and 60% had a history of heart failure. A total of 40 volume clinical assessments were performed (20 pre- and 20 post-HD): 23 were categorized as hypovolemic, 5 euvolemic, and 12 hypervolemic. 21 of 23 (91%) hypovolemic assessments met echo definition for hypovolemia. None of 5 (0%) euvolemic assessments met echo definition of euvolemia. 12 of 12 (100%) hypervolemic assessments met echo definition of hypervolemia. (Figure. Columns and error bars represent mean +/- standard error of mean. P=0.007, Kruskal-Wallis equality-of-populations rank test.) Conclusions: In ESRD patients undergoing HD, echocardiographic definition of volume status using IVCd and VI accurately predicts hypo- and hypervolemia. There was poor correlation between echo and clinical volume assessment for euvolemia. This is the first study to examine volume status in HD patients with concomitant cardiac disease using IVCd, and VI. Further studies are needed to determine whether clinical or echo assessment of euvolemia is accurate.


2012 ◽  
Vol 30 (8) ◽  
pp. 1414-1419.e1 ◽  
Author(s):  
Agarwal Dipti ◽  
Zachary Soucy ◽  
Alok Surana ◽  
Subhash Chandra

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