2008
DOI: 10.1007/s00467-008-0855-5
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Improved left ventricular mass index in children after renal transplantation

Abstract: Left ventricular hypertrophy (LVH) is a risk factor for cardiovascular disease, and it is prevalent in children with end-stage renal disease (ESRD) and after renal transplantation (RTx) on cross-sectional studies. Our aim was to compare prospectively left ventricular mass index (LVMI) in children with ESRD, before and after RTx. Thirteen patients aged 1.5-15 years underwent echocardiogram prior to and at least 3 months after RTx, and again in the second year after transplantation. A control group consisted of … Show more

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Cited by 40 publications
(37 citation statements)
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“…Moreover, it was determined that both types of dialysis did not alter LASFI and similar results were obtained in both patient groups in terms of volume load control. Impairment in the LA systolic functions in line with increase in renal insufficiency stage (29) was demonstrated also in the present study and our results were consistent with the literature. Decrease in LA volume, SA/Ao ratio, and LASFI may be suggested as the predictors of LA remodeling (30).…”
Section: Discussionsupporting
confidence: 82%
“…Moreover, it was determined that both types of dialysis did not alter LASFI and similar results were obtained in both patient groups in terms of volume load control. Impairment in the LA systolic functions in line with increase in renal insufficiency stage (29) was demonstrated also in the present study and our results were consistent with the literature. Decrease in LA volume, SA/Ao ratio, and LASFI may be suggested as the predictors of LA remodeling (30).…”
Section: Discussionsupporting
confidence: 82%
“…Most of these studies show the persistence of cardiac hypertrophy, [32][33][34] but some report improvement post-transplant. 35 As in adults, hypertension is the main cause of cardiac hypertrophy in children before ESRD or post-transplant. Elevated parathyroid hormone (PTH) might contribute to progression of LVH in children with stage 2-4 CKD 36 and hypertension associated with volume overload has been linked to the development of LVH in the dialysis population.…”
Section: Lvh Is the Most Common Cardiac Abnormality In Children With Ckdmentioning
confidence: 99%
“…1 In contrast, these rates were 35.6 (dialysis) and 3.5 (transplant) per 1000 patient-years at risk for children aged 0-19 years with ESRD according to [2006][2007][2008] data from the US Renal Data System (USRDS). 2 These large discrepancies in mortality rates exist despite the widespread availability of state-of-the-art renal replacement therapy and substantial advances in the care of children with CKD over the last 3 decades.…”
mentioning
confidence: 99%
“…Other factors include CIMT, regression of left ventricular hypertrophy after transplant, and high blood pressure [40].…”
Section: Discussionmentioning
confidence: 99%