Factors associated with reduction of left ventricular mass in children on peritoneal dialysis

Yu, Jeong Jin; Jun, Hyun Ok; Shin, Eun Jung; Baek, Jae Suk; Lee, Joo Hoon; Kim, Young-Hwue; Ko, Jae-Kon

doi:10.1111/nep.13033

Cited by 2 publications

(1 citation statement)

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“…Anaemia is a frequent complication of dialysis and reduced GFR and has been associated with LVH and diastolic dysfunction in several pediatric studies [ 21 , 25 , 26 ]. Cardiovascular complications of anaemia are believed to be due to a chronic increase in cardiac output, poor tissue perfusion, and reduced oxygen delivery to the myocardium [ 27 ].…”

Section: The Natural History Of Cvd In Pediatric Kidney Failurementioning

confidence: 99%

Echocardiogram screening in pediatric dialysis and transplantation

et al. 2022

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Transthoracic echocardiography is commonly used to identify structural and functional cardiac abnormalities that can be prevalent in childhood chronic kidney failure (KF). Left ventricular mass (LVM) increase is most frequently reported and may persist post-kidney transplant especially with hypertension and obesity. While systolic dysfunction is infrequently seen in childhood chronic KF, systolic strain identified by speckle tracking echocardiography has been frequently identified in dialysis and it can also persist post-transplant. Echocardiogram association with long-term outcomes has not been studied in childhood KF but there are many adult studies demonstrating associations between increased LVM, systolic dysfunction, strain, diastolic dysfunction, and cardiovascular events and mortality. There has been limited study of interventions to improve echocardiogram status. In childhood, improved blood pressure has been associated with better LVM, and conversion from hemodialysis to hemodiafiltration has been associated with better diastolic and systolic function. Whether long-term cardiac outcomes are also improved with these interventions is unclear. Echocardiography is a well-established technique, and regular use in childhood chronic KF seems justified. A case can be made to extend screening to include speckle tracking echocardiography and intradialytic studies in high-risk populations. Further longitudinal studies including these newer echocardiogram modalities, interventions, and long-term outcomes would help clarify recommendations for optimal use as a screening tool.

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