Cardiac Function and Structure in Longitudinal Analysis of Echocardiography in Peritoneal Dialysis Patients

Io, Hiroaki; Ro, Yuuki; Sekiguchi, Y.; Shimaoka, Tetsutaro; Inuma, Jiro; Hotta, Yoko; Aruga, Seiki; Inami, Yuko; Sato, Michiko; Kobayashi, Takashi; Masuda, Atsumi; Kaneko, Kayo; Hamada, Chikuma; Ohtaki, Eiji; Horikoshi, Satoshi; Tomino, Yasuhiko

doi:10.3747/pdi.2009.00007

Cited by 15 publications

(16 citation statements)

References 31 publications

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“…Nakatani et al [136] showed that the plasma ANP level is one of the most important risk predictors of LV hypertrophy. The correlation between plasma ANP and LV mass was observed previously [124,125,134,135]. It has been hypothesized that left atrium (LA) size represents the integration of LV diastolic performance (compliance) over time.…”

Section: Peritoneal Dialysis: Animal Model and Patientsmentioning

confidence: 51%

“…We have examined cardiovascular function in CKD patients using ultrasonography [124,125,134,135]. Nakatani et al [136] showed that the plasma ANP level is one of the most important risk predictors of LV hypertrophy.…”

Section: Peritoneal Dialysis: Animal Model and Patientsmentioning

confidence: 99%

“…The prognostic value of assessment of the left cardiac atrium (LA) size in PD patients is still unclear. Along with my colleagues, Io et al [125], we prospectively examined a longitudinal monitoring of echocardiography parameters after the start of PD. We also prospectively investigated the correlation between plasma atrial natriuretic peptide (ANP) levels, LA size, and cardiac function by Doppler echocardiography in 32 patients undergoing PD in our hospital.…”

Section: Peritoneal Dialysis: Animal Model and Patientsmentioning

confidence: 99%

“…The results from this clinical study demonstrated a reduction in LA size and LVMI in PD patients who were followed over 24 months. Left ventricular structure, contraction, and compliance were well preserved in PD patients undergoing PD based on measurements of plasma ANP and LA diameter [125. ]…”

Section: Peritoneal Dialysis: Animal Model and Patientsmentioning

confidence: 99%

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Pathogenesis and Treatment of Chronic Kidney Disease: A Review of Our Recent Basic and Clinical Data

Tomino

2014

Kidney Blood Press Res

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437

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Chronic kidney disease (CKD) is a worldwide public health problem that affects millions of people from all racial and ethnic groups. At end of 2013, over 300,000 Japanese patients had maintenance dialysis therapy (JSDT). In Japan, the major causes of end stage kidney disease (ESKD) are chronic glomerulonephritis (particularly IgA nephropathy), type 2 diabetic nephropathy, and hypertensive nephrosclerosis. Hypertension is a major factor driving the progression of CKD to ESKD. Since many features of the pathogenesis of IgA nephropathy are still obscure, specific treatment is not yet available. However, efforts by investigators around the world have gradually clarified different aspects of the pathogenesis and treatment of IgA nephropathy. Today, around half of all diabetic patients in Japan receive medical treatment. Type 2 diabetic nephropathy is one of the major long-term microvascular complications occurring in nearly 40% of Japanese diabetic patients. The pathogenesis of diabetic nephropathy involves both genetic and environmental factors. However, the candidate genes related to the initiation and progression of the disorder are still obscure in patients with diabetic nephropathy. Regarding environmental factors, the toxicity of persistent hyperglycemia, reactive oxygen species, systemic and/or glomerular hypertension, dyslipidemia and complement are considered to play an important role. The first part of this review covers the pathogenesis of IgA nephropathy and type 2 diabetic nephropathy, and combines the clinicopathological findings in patients with our research on the ddY and KKA-y mouse models (spontaneous animal models for IgA nephropathy and diabetic nephropathy, respectively). In Japan, the major renal replacement therapies (RRT) are peritoneal dialysis (PD) and hemodialysis (HD). The second part of this review focuses on PD and HD. Based on our research findings from patients and as well as from animal models, we discuss strategies for the management of patients on PD and HD. i 2015 S. Karger AG, Basel

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Section: Peritoneal Dialysis: Animal Model and Patientsmentioning

confidence: 51%

Section: Peritoneal Dialysis: Animal Model and Patientsmentioning

confidence: 99%

Section: Peritoneal Dialysis: Animal Model and Patientsmentioning

confidence: 99%

Section: Peritoneal Dialysis: Animal Model and Patientsmentioning

confidence: 99%

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Pathogenesis and Treatment of Chronic Kidney Disease: A Review of Our Recent Basic and Clinical Data

Tomino

2014

Kidney Blood Press Res

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437

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“…It is common that fluid overload induces congestive heart failure, and fluid volume obviously influences SV and CO. As a result, even if heart strain increases after AVF creation, it could be decreased when overloaded volume is eliminated, followed by establishing an appropriate dry weight. Io et al [16] measured plasma atrial natriuretic peptide and left atrial dimension and revealed that the left ventricular structure, contraction, and compliance were well preserved in the peritoneal dialysis patients undergoing aggressive treatment.…”

Section: Discussionmentioning

confidence: 99%

Effects of Cardiac Function with Postoperative Arteriovenous Fistula Blood Flow in Patients with Hemodialysis

Wakabayashi

Io²,

Nakata³

et al. 2017

Blood Purif

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Background/Aims: This study was aimed at evaluating the effect of cardiac function with postoperative arteriovenous fistula (AVF) blood flow in hemodialysis (HD) patients. Methods: A total of 45 HD patients were examined at the Juntendo University Hospital. The AVF blood flow was measured using ultrasonography, and the cardiac function was measured using echocardiography. Correlation between these parameters and the rate of change in body weight (BW) was analyzed. Results: The number of postoperative days significantly correlated with the AVF blood flow, and it positively correlated with the stroke volume (SV). The postoperative AVF blood flow in patients with reduced ejection fraction (EF) was lower than that in patients with normal EF. The rate of change of BW negatively correlated with that of SV, positively correlated with cardiac output (CO), and positively correlated with CO in patients with an AVF blood flow of more than 1,000 mL/min. Conclusion: It appears that the cardiac function can be improved by controlling the BW even in patients with high AVF blood flow.

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Predictive factors associated with increased progression to dialysis in early chronic kidney disease (stage 1–3) patients

Nohara

Matsumoto

et al. 2015

Clin Exp Nephrol

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Cardiac Function and Structure in Longitudinal Analysis of Echocardiography in Peritoneal Dialysis Patients

Abstract: This study demonstrates a reduction in LA size and LVMI in PD patients followed over 24 months. Left ventricular structure, contraction, and compliance were well preserved in PD patients undergoing aggressive treatment based on measurements of plasma ANP and LAD.

Cited by 15 publications

References 31 publications

Pathogenesis and Treatment of Chronic Kidney Disease: A Review of Our Recent Basic and Clinical Data

Pathogenesis and Treatment of Chronic Kidney Disease: A Review of Our Recent Basic and Clinical Data

Effects of Cardiac Function with Postoperative Arteriovenous Fistula Blood Flow in Patients with Hemodialysis

Predictive factors associated with increased progression to dialysis in early chronic kidney disease (stage 1–3) patients

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