Effect of Preload Reduction by Hemodialysis on Myocardial Ultrasonic Characterization, Left Atrial Volume, and Doppler Tissue Imaging in Patients with End-stage Renal Disease

Fijałkowski, Marcin; Koprowski, Andrzej; Gruchała, Marcin; Gałąska, Rafał; Dębska‐Ślizień, Alicja; Rogowski, Jan; Rutkowski, Bolesław; Rynkiewicz, Andrzej

doi:10.1016/j.echo.2006.05.020

Cited by 35 publications

(40 citation statements)

References 29 publications

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“…Our data are confirmatory in detecting preload sensitiveness of not only transmitral flow Doppler [7,19] but of main tissue Doppler parameters as well [9,20]. Inferior vena cava diameters as expected were significantly modified by dehydration, accordingly to previous studies [17,20,21].…”

Section: Dehydration During Hd Led To Reduction Of All Main Clinical supporting

confidence: 90%

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Non Invasive Evaluation of Cardiac Hemodynamics in End Stage Renal Disease (ESRD)

Milan

Avenatti

Valle

et al. 2014

High Blood Press Cardiovasc Prev

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Objective: Volume overload is typical of haemodialysis patients; correct volume status evaluation is crucial in achieving blood pressure homeostasis, hypertension management and good treatment planning. This study evaluates the effect of acute volume depletion on ultrasonographic parameters and suggests two of them as able to predict patients volume overload. and LV end-diastolic diameter (LVEDd) indexed to height 2.7(LVEDdi) were able to predict volume overload: cut off values of respectively 13.5 mm/m 2.7 for LVEDdi and 173 cJ for SW were able to predict with a specificity of 100% the presence of a volemic overload of at least 4%. Patients and InterventionConclusions: Blood pressure, cardiac morphology and function are significantly modified by acute volume depletion and such variations are strictly interrelated. SW and LVEDd/height 2.7 may identify ESRD patients carrying an higher volume load.

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Section: Dehydration During Hd Led To Reduction Of All Main Clinical supporting

confidence: 90%

“…The latter represent an appealing option, as a relatively cheap, completely harmless method able to describe not only volume status [7][8][9][10] but to picture the spectrum of ESRD cardiomiopathy as well [11][12].…”

Section: Introductionmentioning

confidence: 99%

Non Invasive Evaluation of Cardiac Hemodynamics in End Stage Renal Disease (ESRD)

Milan

Avenatti

Valle

et al. 2014

High Blood Press Cardiovasc Prev

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“…Interestingly, Drighil and colleagues (11) suggested that systolic and diastolic venticular TDI velocities are load-dependent, and that potent HD treatment may provide insight into determining the onset of diastolic dysfunction in adolescent ESRD patients. Additionally, Fijalkowski et al (14) suggested that mitral annular TDI velocity may offer an optional worthwhile preload-independent marker for evaluating LV D impairment in ESRD.…”

Section: Discussionmentioning

confidence: 99%

“…In HD patients, loading influence is principal for the functional examination of the heart. Certainly, the alterations in volume status cause significant changes in preload and afterload and ultimately effect the LV diastolic function measurements (12)(13)(14). The use of newer Doppler techniques that can examine cardiac function independent of volume status, such as tissue Doppler imaging (TDI), may prove useful for early diagnosis (12, 13).…”

mentioning

confidence: 99%

“…The use of newer Doppler techniques that can examine cardiac function independent of volume status, such as tissue Doppler imaging (TDI), may prove useful for early diagnosis (12, 13). TDI can adequately measure relaxation and contraction velocities from the myocardium and has been recommended as quantitative and relatively load-independent (11,14). Throughout HD treatment, the intravascular volume of these patients is reduced a plausible group to investigate the role of acute preload Background: Tissue Doppler imaging (TDI) is a method that determines the tissue motion and velocity within the myocardium.…”

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confidence: 99%

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Acute Haemodialysis-induced Changes in Tissue Doppler Echocardiography Parameters

Sağ¹,

Yeşilbursa²,

Yıldız³

et al. 2014

Balkan Med J

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Cardiovascular diseases are common in patients with endstage renal disease (ESRD) and are the main causes of morbidity and mortality (1)(2)(3). A large body of evidence has accrued indicating that a portion of this cardiovascular damage may be due to haemodialysis (HD) (4,5). Notably, cardiovascular events contribute to increased death rates (10-to 20-fold) in HD patients compared to the general population, regardless of gender, race, and the general risk factors associated with heart disease (6). Short recurrent HD therapy is recognized to have a positive impact on haemodynamics, and approximately 20-30% can be convoluted by major intradialytic hypotension attacks (7). Previous studies have also shown that HD is known to induce haemodynamic instability through the development of subclinical myocardial ischemia, (8). Interestingly, sudden death appears to cause cardiovascular death in HD patients (9). There is evidence suggesting that cardiac arrhythmias are caused by abnormal ventricular morphology and function in this group of patients (10). Therefore, studying changes in cardiac functions induced by HD may be of significant clinical value.Cardiac function is routinely measured using diagnostic imaging techniques. Echocardiography (ECHO) is a conventional method that can measure systolic and diastolic functions of the right ventricle (RV) and left ventricle (LV). However, most traditional ECHO parameters of LV and RV diastolic and systolic functions are affected by alterations in loading conditions and are therefore called load-dependent (11). In HD patients, loading influence is principal for the functional examination of the heart. Certainly, the alterations in volume status cause significant changes in preload and afterload and ultimately effect the LV diastolic function measurements (12)(13)(14). The use of newer Doppler techniques that can examine cardiac function independent of volume status, such as tissue Doppler imaging (TDI), may prove useful for early diagnosis (12, 13). TDI can adequately measure relaxation and contraction velocities from the myocardium and has been recommended as quantitative and relatively load-independent (11,14). Throughout HD treatment, the intravascular volume of these patients is reduced a plausible group to investigate the role of acute preload Background: Tissue Doppler imaging (TDI) is a method that determines the tissue motion and velocity within the myocardium. Aims: To characterize acute haemodialysis (HD)-induced changes in TDI-derived indices for patients that have end-stage renal disease (ESRD). Study Design: Cross sectional study. Methods: Conventional echocardiography and TDI methods were applied to study ESRD patients (n=58) before and after HD. Pulmonary venous flow, mitral inflow, and TDI signals of the lateral and septal mitral annulus were examined for the determination of altered left-ventricular diastolic filling parameters. Flow velocities from early-(E) and late-atrial (A) peak transmitral; peak pulmonary vein systolic (S) and diastolic (D); and myocardia...

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Effect of hydration status on atrial and ventricular volumes and function in healthy adult volunteers

et al. 2016

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Effect of Preload Reduction by Hemodialysis on Myocardial Ultrasonic Characterization, Left Atrial Volume, and Doppler Tissue Imaging in Patients with End-stage Renal Disease

Cited by 35 publications

References 29 publications

Non Invasive Evaluation of Cardiac Hemodynamics in End Stage Renal Disease (ESRD)

Non Invasive Evaluation of Cardiac Hemodynamics in End Stage Renal Disease (ESRD)

Acute Haemodialysis-induced Changes in Tissue Doppler Echocardiography Parameters

Effect of hydration status on atrial and ventricular volumes and function in healthy adult volunteers

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