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Echocardiographic parameters in patients with and without hypotension during dialysis

Introduction: Hypotension during dialysis is a common complication of hemodialysis and is associated with increased patient mortality and morbidity. Intradialytic hypotension is a decrease in systolic BP ≥20 mm Hg or a reduction in mean arterial pressure by 10 mm Hg along with clinical events and th...

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Autores principales: Poorzand, Hoorak, Sharifipour, Farzaneh, Kerachian, Abdollah, Ghaderi, Fereshteh, Alimi, Hedieh, Bigdelu, Leila, Fazlinejad, Afsoon, Morovatdar, Negar, Ataei, Banafsheh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tabriz University of Medical Sciences 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8493227/
https://www.ncbi.nlm.nih.gov/pubmed/34630971
http://dx.doi.org/10.34172/jcvtr.2021.41
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author Poorzand, Hoorak
Sharifipour, Farzaneh
Kerachian, Abdollah
Ghaderi, Fereshteh
Alimi, Hedieh
Bigdelu, Leila
Fazlinejad, Afsoon
Morovatdar, Negar
Ataei, Banafsheh
author_facet Poorzand, Hoorak
Sharifipour, Farzaneh
Kerachian, Abdollah
Ghaderi, Fereshteh
Alimi, Hedieh
Bigdelu, Leila
Fazlinejad, Afsoon
Morovatdar, Negar
Ataei, Banafsheh
author_sort Poorzand, Hoorak
collection PubMed
description Introduction: Hypotension during dialysis is a common complication of hemodialysis and is associated with increased patient mortality and morbidity. Intradialytic hypotension is a decrease in systolic BP ≥20 mm Hg or a reduction in mean arterial pressure by 10 mm Hg along with clinical events and the need for correction. This study compares cardiac function, using transthoracic echocardiography with strain modality in patients with intradialytic hypotension with those without hypotension during dialysis. Methods: We studied 60 patients with chronic renal failure undergoing regular hemodialysis from April 2018 to February 2019. We compared thirty patients in the intradialytic hypotension group, with the remaining 30 patients in the control group. We did transthoracic echocardiography a day after hemodialysis using conventional, tissue doppler, and strain imaging. Results: Early diastolic mitral annulus velocity (e’) was lower in the intradialytic hypotension group in comparison with the control group which their difference was statistically significant (5.540 ± 1.51 versus 6.920 ± 1.98, P value:0.007) Left Ventricular Ejection Fraction (LVEF) was also significantly lower in the intradialytic hypotension group (51.07 ± 8.714 versus 59.43 ± 4.133, P value < 0.001). Global Longitudinal Strain (GLS) was significantly lower in the intradialytic hypotension group (-14.17 ± 2.79 versus -18.99 ± 2.25, P value < 0.001). The receiver operator characteristics (ROC) curve point-coordinates that GLS of -16.85 and lower (more positive) has 83% sensitivity and 87% specificity for intradialytic hypotension. Conclusion: The echocardiographic assessment could be used as a tool for the prediction of hypotension during dialysis.
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spelling pubmed-84932272021-10-08 Echocardiographic parameters in patients with and without hypotension during dialysis Poorzand, Hoorak Sharifipour, Farzaneh Kerachian, Abdollah Ghaderi, Fereshteh Alimi, Hedieh Bigdelu, Leila Fazlinejad, Afsoon Morovatdar, Negar Ataei, Banafsheh J Cardiovasc Thorac Res Original Article Introduction: Hypotension during dialysis is a common complication of hemodialysis and is associated with increased patient mortality and morbidity. Intradialytic hypotension is a decrease in systolic BP ≥20 mm Hg or a reduction in mean arterial pressure by 10 mm Hg along with clinical events and the need for correction. This study compares cardiac function, using transthoracic echocardiography with strain modality in patients with intradialytic hypotension with those without hypotension during dialysis. Methods: We studied 60 patients with chronic renal failure undergoing regular hemodialysis from April 2018 to February 2019. We compared thirty patients in the intradialytic hypotension group, with the remaining 30 patients in the control group. We did transthoracic echocardiography a day after hemodialysis using conventional, tissue doppler, and strain imaging. Results: Early diastolic mitral annulus velocity (e’) was lower in the intradialytic hypotension group in comparison with the control group which their difference was statistically significant (5.540 ± 1.51 versus 6.920 ± 1.98, P value:0.007) Left Ventricular Ejection Fraction (LVEF) was also significantly lower in the intradialytic hypotension group (51.07 ± 8.714 versus 59.43 ± 4.133, P value < 0.001). Global Longitudinal Strain (GLS) was significantly lower in the intradialytic hypotension group (-14.17 ± 2.79 versus -18.99 ± 2.25, P value < 0.001). The receiver operator characteristics (ROC) curve point-coordinates that GLS of -16.85 and lower (more positive) has 83% sensitivity and 87% specificity for intradialytic hypotension. Conclusion: The echocardiographic assessment could be used as a tool for the prediction of hypotension during dialysis. Tabriz University of Medical Sciences 2021 2021-08-25 /pmc/articles/PMC8493227/ /pubmed/34630971 http://dx.doi.org/10.34172/jcvtr.2021.41 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Poorzand, Hoorak
Sharifipour, Farzaneh
Kerachian, Abdollah
Ghaderi, Fereshteh
Alimi, Hedieh
Bigdelu, Leila
Fazlinejad, Afsoon
Morovatdar, Negar
Ataei, Banafsheh
Echocardiographic parameters in patients with and without hypotension during dialysis
title Echocardiographic parameters in patients with and without hypotension during dialysis
title_full Echocardiographic parameters in patients with and without hypotension during dialysis
title_fullStr Echocardiographic parameters in patients with and without hypotension during dialysis
title_full_unstemmed Echocardiographic parameters in patients with and without hypotension during dialysis
title_short Echocardiographic parameters in patients with and without hypotension during dialysis
title_sort echocardiographic parameters in patients with and without hypotension during dialysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8493227/
https://www.ncbi.nlm.nih.gov/pubmed/34630971
http://dx.doi.org/10.34172/jcvtr.2021.41
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