Chronic Kidney Disease specific cardiovascular risk factors among non dialytic patients with Chronic Kidney Disease stage-VAn experience of a specialized hospital

Saha, Madhurima; Faroque, M O; Ks, Alam; Alam, Muhammad; Ahmed, S

doi:10.3329/bmrcb.v38i1.10447

Cited by 11 publications

(14 citation statements)

References 23 publications

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“…Although, approximately 50% increase has been reported in LV mass in patients on dialysis as compared to healthy controls (18), the present study found LVM to be increased by 25% as compared to the control group. Comparing the groups in terms of LV hypertrophy based on the LVMI, LV hypertrophy was (23). Observational studies have determined that deaths due to cardiovascular reasons and complications are lower with keeping hemoglobin level over 12 g/dL.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of left atrial functions in children with chronic renal failure

Demirpençe¹,

Güven²,

Meşe³

et al. 2014

Anadolu Kardiyol Derg

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Objective: One-quarter of deaths in children with chronic renal failure is due to cardiovascular complications. Conventional echocardiographic methods are insufficient for evaluating systolic functions in children with chronic renal failure. The aim of the present study was to investigate cardiac functions in children with chronic renal failure by evaluating left atrial volume and functions. Methods: The present cross-sectional observational study included 44 children undergoing dialysis, 16 children with chronic renal failure but not yet on dialysis, and 20 healthy control subjects. Transthoracic echocardiography was performed for all children. Variables regarding to left ventricle and atrium (left atrial systolic force, left atrial systolic force index, left atrial volume, left ventricular mass index, and relative wall thickness) were measured using two-dimensional and M-mode echocardiography. Results: Left atrial systolic force index was negatively correlated with systolic blood pressure and left ventricular mass (p=0.01, r=0.266 and p=0.02, r=0.347, respectively). However, it was positively correlated with both early and late diastolic mitral inflow velocity (r=0.518, p=0.001 and r=0.828, p=0.001, respectively). There were no significant difference among the groups in terms of left atrial systolic force index and left atrial volume. However, left atrial systolic force index was higher in children with chronic renal failure but not yet on dialysis. Conclusion: Left atrial systolic force was negatively correlated with systolic blood pressure and left ventricular mass. These findings suggested that evaluating left atrial systolic force and left atrial volume were useful to determine diastolic dysfunction and the necessity of dialysis in patient with chronic renal failure. (Anadolu Kardiyol Derg 2014; 14: 280-5)

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Section: Discussionmentioning

confidence: 99%

Evaluation of left atrial functions in children with chronic renal failure

Demirpençe¹,

Güven²,

Meşe³

et al. 2014

Anadolu Kardiyol Derg

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“…Several studies have reported risk factors associated with poor outcome in patients with ESRD in various settings, including age [5,7,23], higher severity scores [5-7], associated malignancy [5], the presence of infection [5-7,24], the need for mechanical ventilation [5,8], and anemia [25,26]. Data on risk factors for death in ESRD patients undergoing major surgical procedures are scanty.…”

Section: Discussionmentioning

confidence: 99%

End-stage renal disease and outcome in a surgical intensive care unit

et al. 2013

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IntroductionEnd-stage renal disease (ESRD) is associated with an increased propensity for critical illness, but whether ESRD is independently associated with a greater risk of death after major surgical procedures is unclear.MethodsThis was a retrospective analysis of prospectively collected data from all adult (>18 years) patients admitted to a 50-bed surgical intensive care unit (ICU) between January 2004 and January 2009. ESRD was defined as the need for chronic peritoneal dialysis or hemodialysis for at least 6 weeks prior to ICU admission. We used multivariable logistic regression analysis and propensity-score matching to adjust for possible confounders.ResultsIn total, 12,938 adult patients were admitted during the study period; 199 patients had ESRD at ICU admission, giving a prevalence of 1.5%. Patients with ESRD were more likely to be male (72.9% versus 63.0%, P = 0.004) and had higher severity scores, a higher incidence of diabetes mellitus and cirrhosis, and a lower incidence of cancer at ICU admission than those without ESRD. Patients with ESRD were more likely to have any type of organ failure at ICU admission and during the ICU stay. Patients with ESRD had higher ICU and hospital mortality rates (23.1% and 31.2% versus 5.5% and 10.0%, respectively, P <0.001 pairwise) and longer ICU length of stay (2 (1 to 7) versus 1 (1 to 3) days, P <0.001). In multivariable logistic regression analysis, ESRD was independently associated with a greater risk of in-hospital death (odds ratio = 3.84, 95% confidence interval 2.68 to 5.5, P <0.001). In 199 pairs of patients, hematologic and hepatic failures were more prevalent, ICU and hospital mortality rates were higher (23.1% versus 15.1% and 31.2% versus 19.1%, P <0.05 pairwise), and ICU length of stay was longer (2 (1 to 7) versus 1 (1 to 7) days, P <0.001) in patients with ESRD.ConclusionsIn this large cohort of surgical ICU patients, presence of ESRD at ICU admission was associated with greater morbidity and mortality and independently associated with a greater risk of in-hospital death. Our data can be useful in preoperative risk stratification.

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“…A global case-control study of risk factors for early acute myocardial infarction reported that the mean age (51.9 years) for the occurrence of acute myocardial infarction among Bangladeshi population was the lowest amongst all South Asians, and it was 6 years lower compared with the non-South Asians (58.8 years) 17) . A number of studies [23][24][25][26][27] reported the burden of IHD in different contexts and cohorts consisted of Mahmud et al 44) 1989 Urban school 5-18 5011 0.9 per 1000…”

Section: Ischemic Heart Diseasementioning

confidence: 99%

Emerging Burden of Cardiovascular Diseases in Bangladesh

Mamun

Rumana

Pervin

et al. 2016

JAT

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As a result of an epidemiological transition from communicable to non-communicable diseases for last few decades, cardiovascular diseases (CVD) are being considered as an important cause of mortality and morbidity in many developing countries including Bangladesh. Performing an extensive literature search, we compiled, summarized, and categorized the existing information about CVD mortality and morbidity among different clusters of Bangladeshi population. The present review reports that the burden of CVD in terms of mortality and morbidity is on the rise in Bangladesh. Despite a few non-communicable disease prevention and control programs currently running in Bangladesh, there is an urgent need for well-coordinated national intervention strategies and public health actions to minimize the CVD burden in Bangladesh. As the main challenge for CVD control in a developing country is unavailability of adequate epidemiological data related to various CVD events, the present review attempted to accumulate such data in the current context of Bangladesh. This may be of interest to all stakeholder groups working for CVD prevention and control across the country and globe. J Atheroscler Thromb, 2016; 23: 365-375.

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Chronic Kidney Disease specific cardiovascular risk factors among non dialytic patients with Chronic Kidney Disease stage-VAn experience of a specialized hospital

Cited by 11 publications

References 23 publications

Evaluation of left atrial functions in children with chronic renal failure

Evaluation of left atrial functions in children with chronic renal failure

End-stage renal disease and outcome in a surgical intensive care unit

Emerging Burden of Cardiovascular Diseases in Bangladesh

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Chronic Kidney Disease specific cardiovascular risk factors among non dialytic patients with Chronic Kidney Disease stage-VAn experience of a specialized hospital

Cited by 11 publications

References 23 publications

Evaluation of left atrial functions in children with chronic renal failure

Evaluation of left atrial functions in children with chronic renal failure

End-stage renal disease and outcome in a surgical intensive care unit

Emerging Burden of Cardiovascular Diseases in Bangladesh

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Resources

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Chronic Kidney Disease specific cardiovascular risk factors among non dialytic patients with Chronic Kidney Disease stage-VAn experience of a specialized hospital