The effect of hemodialysis on right ventricular functions in patients with end-stage renal failure

Akkaya, Mehmet; Erdoğan, Ercan; Sağ, Saim; Arı, Hasan; Türker, Yasin; Yılmaz, Mustafa

doi:10.5152/akd.2012.002

Cited by 11 publications

(18 citation statements)

References 7 publications

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“…In the literature, conflicting results were published concerning the susceptibility of TAPSE measurements on preload reduction. Since the volume change and population size are greater in our study, we believe the results of this study are more reliable than previously reported results in the literature …”

Section: Discussionsupporting

confidence: 85%

“…In our study, both systolic and diastolic blood pressures decreased after HD, compared to the pressures before HD. In most of the previous studies, similar changes in blood pressure were reported, which is expected due to a loss of fluid and modest decrease in afterload …”

Section: Discussionsupporting

confidence: 78%

“…Right ventricle myocardial performance index (MPI), which can be evaluated with tissue Doppler and spectral Doppler methods, has been found to increase after HD. Conflicting findings regarding this topic have been reported in the literature . Kjaergaard et al .…”

Section: Discussionmentioning

confidence: 94%

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The impact of volume overload on right heart function in end‐stage renal disease patients on hemodialysis

et al. 2017

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Two-dimensional speckle tracking echocardiography is an easy and noninvasive tool that could provide additional volume-independent echocardiographic parameters and more information on RA physio-mechanics. This might lead to a better evaluation of the cardiac pathophysiology and hemodynamics of patients. Moreover, providing novel volume-independent parameters for the evaluation of right heart chambers would improve the clinical perspectives of patients.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 78%

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The impact of volume overload on right heart function in end‐stage renal disease patients on hemodialysis

et al. 2017

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“…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%

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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“…Cardiovascular events are the dominant cause of death in patients with ESRD, and the high prevalence of established traditional risk factors for atherosclerosis in this clinical population undoubtedly contributes to the accelerated rate of vascular disease (3)(4)(5). However, hemodialysis treatment per se can be detrimental to the vessel wall because of the acute hemodynamic changes in arterial pressure, blood volume, sympathovagal balance, and electrolytes (4,6). In HD patients, both atherosclerosis (mainly affecting the intima of the arteries) and arteriosclerosis (affecting predominantly the media of large-and middle-sized arteries diffusely) are highly prevalent (7,8).…”

Section: Introductionmentioning

confidence: 99%

Acute effect of hemodialysis on arterial elasticity

Sağ¹,

Yeşilbursa²,

Yıldız³

et al. 2015

Turk J Med Sci

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Background/aim: Reduced arterial elasticity is an independent predictor of cardiovascular mortality in patients with end-stage renal disease (ESRD). Hemodialysis (HD) treatment per se can bring additional risk factors for vascular disease. Our study was designed to determine whether a single hemodialysis session leads to an acute alteration in parameters of arterial elasticity in ESRD. Materials and methods:In this study, 58 patients undergoing chronic hemodialysis and 29 healthy controls were enrolled. Large artery elasticity index (LAEI) and the small artery elasticity index (SAEI) were measured by applanation tonometry. The acute effect of a hemodialysis session on arterial elasticity indices was assessed by comparison of prehemodialysis and posthemodialysis determinations.Results: At baseline, LAEI did not differ significantly in patients compared with controls. In contrast, the SAEI was significantly lower in patients (4.1 ± 2.6 mL/mmHg × 100) than in healthy individuals (8.9 ± 3.4 mL/mmHg × 100, P < 0.05). In patients with ESRD, no significant changes in LAEI was observed after HD, but SAEI deteriorated significantly (from 4.1 ± 2.6 mL/mmHg × 100 to 3.4 ± 2.3, P < 0.05). Conclusion:We conclude that ESRD patients face a significant reduction in SAEI, which is exacerbated by a dialysis procedure.

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The effect of hemodialysis on right ventricular functions in patients with end-stage renal failure

Cited by 11 publications

References 7 publications

The impact of volume overload on right heart function in end‐stage renal disease patients on hemodialysis

The impact of volume overload on right heart function in end‐stage renal disease patients on hemodialysis

Acute Haemodialysis-induced Changes in Tissue Doppler Echocardiography Parameters

Acute effect of hemodialysis on arterial elasticity

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