A Rare Cause of Ventricular Fibrillation Confirmed by Speckle-Tracking Imaging

Anghel, Larisa; Dabija, E; Macovei, Liviu; Prisacariu, Cristina; Ivan, Mihaela; Arsenescu-Georgescu, Cătălina

doi:10.1515/jce-2017-0022

Cited by 1 publication

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“…It remains to be established to which degree in this population the ejection fraction contributes to the overall risk and survival rate and dialysis duration. The new Tissue Doppler and Speckle tracking techniques can add more prognostic value for us in order to understand and treat the dialyzed patient involved in the pathophysiological continuum between kidney and heart [8][9][10][11][12][24][25][26]27]. Also, in some studies, arterial stiffness assessed by carotid femural pulse wave velocity [28], late potentials related arrhythmias [19], low EF or low RR variability [19], were associated with higher mortality risk and are useful marker because they are correlated with overall cardiovascular mortality [29,30], used even in hemodialysis patients.…”

Section: Resultsmentioning

confidence: 99%

Predictive Value of Several Echo Parameters for Cardiovascular Events in Hemodialysis Patients with Mid-range and Preserved Ejection Fraction Heart Failure

Ivan¹,

Albulescu²,

Albulescu³

et al. 2019

Rev. Chim.

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Patients with end stage renal disease (ESRD) on hemodialysis (HD) are predisposed to higher rates of major cardiovascular events, through several well-known pathophysiological mechanisms. The rates of all-cause mortality are 6 to 10fold greater for these patients compared with general population. Furthermore, diabetes mellitus, history of cardiovascular disease, dialysis duration, and residual diuresis are factors related to cardiovascular events in hemodialysis. Whilst structural and functional echocardiographic abnormalities in dialyzed patients have been the surrogate for several survival studies, the predictive value of these echo parameters, are not clearly established in this field .In dialysis patients, it is still unclear which echo parameter is the best in determining cardiovascular outcome. The purpose of our study was to investigate the role of Doppler Echocardiography and Tissue Doppler Imaging (TDI) abnormalities, in providing predictive parameters for this particular population. The survival rates were analyzed by Kaplan�Meier curves and cardiac events predictors by Cox�s proportional-hazards model. We found correlations between several echo measurements and cardiovascular events, especially diastolic dysfunction and impaired left ventricular parameters. We strongly recommend the use of these echocardiographic parameters in early detection of patients at high risk in order to reduce morbidity and mortality.

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