Left ventricular mass monitoring in the follow-up of dialysis patients: Prognostic value of left ventricular hypertrophy progression

Abstract

Changes in LVMI have an independent prognostic value for cardiovascular events and provide scientific support to the use of repeated echocardiographic studies for monitoring cardiovascular risk in dialysis patients.

Parâmetros ecocardiográficos como preditores de eventos cardiovasculares em pacientes em hemodiálise

“…LVH was present in 85% of patients in this study, a rate similar to the ones reported by other authors 6,32 . Zoccali et al 31 showed that increased LVMI in hemodialysis patients was an independent predictor of cardiovascular events, regardless of basal LVM values. In this study, LVMI was not associated with cardiovascular morbidity and mortality.…”

“…LVH is a strong predictor of cardiovascular morbidity and mortality in hemodialysis patients 31 . LVH was present in 85% of patients in this study, a rate similar to the ones reported by other authors 6,32 .…”

A Randomized Trial of Hemodiafiltration and Change in Cardiovascular Parameters

“…LVM, EF, and PWV have all been repeatedly demonstrated to be relevant predictors of cardiovascular morbidity and mortality in patients with ESRD (5)(6)(7)(8)(9). Regression of LVM has also been shown to be associated with a more favorable outcome in this population (10).…”

“…Regression of LVM has also been shown to be associated with a more favorable outcome in this population (10). Studies on the natural course of LVM in patients with ESRD have reported stabilization or decrease of these measures over time (9,11), while the natural course of EF is to decrease slowly over time in this population (7,12).…”

In-Center Hemodialysis Six Times per Week versus Three Times per Week

“…35,36 The study also has several important limitations. Owing to feasibility and other logistic concerns, the sample size was insufficient to determine the effects of frequent in-center hemodialysis on death, cause-specific death, hospitalization, or other events.…”