EVALUATION OF LEFT VENTRICULAR DYSFUNCTION BY ECHO-DOPPLER IN CONTINUOUS AMBULATORY PERITONEAL DIALYSIS PATIENTS

2013 ◽  
pp. 18-24
Author(s):  
Tam Vo ◽  
Viet Thang Hoang
Keyword(s):  
Peritoneal Dialysis ◽  
Left Ventricular Dysfunction ◽  
Ventricular Dysfunction ◽  
Left Ventricular Systolic Dysfunction ◽  
Systolic Dysfunction ◽  
Left Ventricular ◽  
Central Hospital ◽  
Ventricular Systolic Dysfunction ◽  
Cross Sectional ◽  
End Stage

Backgrounds: Cardio-vascular disorders contribute to mortality in patients suffering end stage kidney disease with peritoneal dialysis. Objectives: (1) To determine the rate of left ventricular systolic dysfunction and left ventricular diastolic disfunction in end-stage chronic renal failure patients treated by CAPD; (2) To evaluate the correlation between left ventricular systolic dysfunction and left ventricular diastolic disfunction Patients-Methods: A cross-sectional design on 30 ESRD patients treated by CAPD at Department of Nephrology- Hue central Hospital were selected for this study from 1/2010 to 6/2011. Results: Stydying left ventricular function in 30 hemodialysis patients in Hue central Hospital by Echo - Doppler, we found 53.33% of cases with left ventricular systolic dysfunction and 56.67% of such patients with left ventricular diastolic dysfunction. Most of these cases (88.23%) had mixed dysfunction. Conclusions: There were relations between left ventricular dysfunction and anemia (Hemoglobinemia), between left ventricular dysfunction and the time of treatement by hemodialysis, but it was not related to hypertension. Key words: left ventricular, Echo – doppler, hemodialysis

scholarly journals Ross procedure in patients with severe left ventricular systolic dysfunction

2015 ◽  
Vol 17 (1) ◽  
pp. 5
Author(s):  
A. M. Karaskov ◽  
I. I. Demin ◽  
S. I. Zheleznev ◽  
A. V. Bogachev-prokofev ◽  
R. M. Sharifulin ◽  
...  
Keyword(s):  
Aortic Stenosis ◽  
Ejection Fraction ◽  
Left Ventricular Dysfunction ◽  
Ventricular Dysfunction ◽  
Left Ventricular Systolic Dysfunction ◽  
Systolic Dysfunction ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Ross Procedure ◽  
Ventricular Systolic Dysfunction

The Ross procedure outcomes in patients with left ventricular dysfunction are presented. 20 Ross procedures were performed in patients with aortic disease complicated by severe left ventricular dysfunction. The average left ventricular ejection fraction before surgery was 31,56,57%. Aortic stenosis was found in 60% of cases. Hospital mortality rate was 5%. Heart failure prevailed among complications. It was already in the early postoperative period that significant left ventricular remodeling was observed. The patients with aortic stenosis demonstrated a 56,9 % increase in ejection fraction, while their end-systolic diameter and end-systolic volume decreased by 34,5% and 13,3% respectively. In the group with aortic insufficiency there was a statistically significant reduction in the left ventricular volume indices: left ventricular end-diastolic diameter by 20%, left ventricular end-diastolic volume by 36,5%. No reoperation due to dysfunction of the autograft and conduits in the pulmonary artery area was required. At 12 months after surgery the processes of left ventricular cavity remodeling and normalization of contractility in both groups continued. The results of this study show that the Ross procedure can be used successfully in patients with severe left ventricular systolic dysfunction.

scholarly journals Cross sectional study estimating prevalence of heart failure and left ventricular systolic dysfunction in community patients at risk

Heart ◽  
2001 ◽  
Vol 86 (2) ◽  
pp. 172-178 ◽  
Author(s):  
O W Nielsen ◽  
J Hilden ◽  
C T Larsen ◽  
J F Hansen
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
General Practice ◽  
Heart Disease ◽  
Left Ventricular Systolic Dysfunction ◽  
Systolic Dysfunction ◽  
Left Ventricular ◽  
Ventricular Systolic Dysfunction ◽  
Cross Sectional ◽  
General Practices

OBJECTIVETo examine a general practice population to measure the prevalence of signs and symptoms of heart failure (SSHF) and left ventricular systolic dysfunction (LVSD).DESIGNCross sectional screening study in three general practices followed by echocardiography.SETTING AND PATIENTSAll patients ⩾ 50 years in two general practices and ⩾ 40 years in one general practice were screened by case record reviews and questionnaires (n = 2158), to identify subjects with some evidence of heart disease. Among these, subjects were sought who had SSHF (n = 115). Of 357 subjects with evidence of heart disease, 252 were eligible for examination, and 126 underwent further cardiological assessment, including 43 with SSHF.MAIN OUTCOME MEASURESPrevalence of SSHF as defined by a modified Boston index, LVSD defined as an indirectly measured left ventricular ejection fraction ⩽ 0.45, and numbers of subjects needing an echocardiogram to detect one case with LVSD.RESULTSSSHF afflicted 0.5% of quadragenarians and rose to 11.7% of octogenarians. Two thirds were handled in primary care only. At ⩾ 50 years of age 6.4% had SSHF, 2.9% had LVSD, and 1.9% (95% confidence interval 1.3% to 2.5%) had both. To detect one case with LVSD in primary care, 14 patients with evidence of heart disease without SSHF and 5.5 patients with SSHF had to be examined.CONCLUSIONSSHF is extremely prevalent in the community, especially in primary care, but more than two thirds do not have LVSD. The number of subjects with some evidence of heart disease needing an echocardiogram to detect one case of LVSD is 14.

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