Parâmetros ecocardiográficos como preditores de eventos cardiovasculares em pacientes em hemodiálise

Siqueira, Thayse Mayara Aragão; Ferreira, Pedro Antônio Muniz; Júnior, Francisco das Chagas Monteiro; Filho, Natalino Salgado; Ferreira, Adalgisa de Souza Paiva; Neto, Eugênio dos Santos; Souza, Francival Leite de; Cardoso, Paulo de Tarso

doi:10.1590/s0066-782x2012005000065

Cited by 8 publications

(3 citation statements)

References 39 publications

(43 reference statements)

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“…Several studies have suggested that DM is a predictor of mortality, especially due to cardiovascular causes arising from accelerated aterosclerosis. 20 Similar results have been found in several studies, 18,[21][22][23] although this study did not prove such association. One of the limitations of our study, as well as in the study of Angelo et al, 20 is not to be able to include and evaluate all the variables needed to assess survival in diabetic patients, as the type of DM, smoking, BMI, physical exercise, dyslipidemia.…”

Section: Discussionsupporting

confidence: 73%

Survival of hemodialysis patients at a university hospital

Teixeira

Lopes

Silva

et al. 2015

Jornal Brasileiro De Nefrologia

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Section: Discussionsupporting

confidence: 73%

Survival of hemodialysis patients at a university hospital

Teixeira

Lopes

Silva

et al. 2015

Jornal Brasileiro De Nefrologia

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“…These rates are comparable to those found by Siqueira et al [18], who found survival rates of 96.5% and 83.0% in one and two years, respectively. Data from dialysis censuses show survival rates of 88.6% in one year and 79.1% in two years in Europe [19] and 77.4% in one year and 63% in two years in the USA [1].…”

Section: Discussionsupporting

confidence: 90%

Echocardiographic Parameters as Cardiovascular Mortality Predictors in Chronic Hemodialysis Patients

Koeda¹,

Ogawa²,

Ito³

et al. 2014

IJCM

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Background: Hemodialysis (HD) patients have high rates of cardiovascular (CV) mortality. Although structural and functional echocardiographic alterations in HD patients have been the subject of several survival analysis studies, the prognostic value of these alterations is not well established. The aim of this study was to determine the prognostic value of echocardiographic parameters in chronic HD patients. Objectives: One hundred eighteen HD patients were clinically evaluated and underwent Doppler echocardiography, being followed for 45.7 ± 13.6 months. The outcome measures were CV mortality. The predictive value of echocardiographic variables was evaluated by Cox regression model and survival curves were constructed using the Kaplan-Meier method and log-rank test to compare them. Results: CV diseases accounted for 46.4% of all deaths during the follow-up period. We found that the event-free survival rates in one and two years were 96.5% and 83.0%, respectively. Diabetes and E/e' ratio were predictors of CV outcome by multivariate analyses. Conclusion: Diabetes and diastolic dysfunction are independent predictors of CV mortality in chronic HD patients.

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“…Some studies have reported LV systolic dysfunction in all patients of HD [13,14] which is very high as compared to our study and the above-mentioned studies. The possible reason for this high proportion may be that these studies used the positron emission tomography scan for determination of systolic dysfunction that uses contrast-induced ischemic changes for diagnosis of ischemia and is superior to echocardiography for determination of cardiac dysfunction [14].…”

Section: Discussioncontrasting

confidence: 49%