Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease

AKKOYUN, Dursun Çayan; DEĞİRMENCİ, Hasan; ALPSOY, Şeref; TOPÇU, Birol; Akyüz, Aydın; YAMAN, Reşit; Oran, Mustafa

Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease

Şeref ALPSOY, (Namık Kemal Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Tekirdağ, Türkiye)

Aydın AKYÜZ, (Namık Kemal Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Tekirdağ, Türkiye)

Mustafa ORAN, (Namık Kemal Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Tekirdağ, Türkiye)

Reşit YAMAN, (Tekirdağ Özel Yaşam Hastanesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Tekirdağ, Türkiye)

Dursun Çayan AKKOYUN, (Namık Kemal Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Tekirdağ, Türkiye)

Birol TOPÇU, (Namık Kemal Üniversitesi, Tıp Fakültesi, Biyoistatistik, Bölümü, Tekirdağ, Türkiye)

Hasan DEĞİRMENCİ (Namık Kemal Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Tekirdağ, Türkiye)

Harran Üniversitesi Tıp Fakültesi Dergisi

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Yıl: 2013 Cilt: 10 Sayı: 3 Sayfa Aralığı: 114 - 123 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease

Öz:

Amaç: Kronik böbrek yetmezli ği olan hastalarda morbidite ve mortalite riskinin arttığı bilinmektedir.Kronik böbrek yetmezliği olan hastalarda hemodiyalizin sol ve sağ ventrikül sistolik ve diyastolikfonksiyonları üzerine etkisini konvansiyonel ve doku Doppler ekokardiyografi ile değerlendirmeyi amaçladık.Materyal ve metod: Bu ileriye dönük gözlemsel çalışmada hemodiyaliz öncesi ve diyalizden 60 dakikasonra 41 üremik hasta ekokardiyografi ile değerlendirildi. İki boyutlu, M- Mode, konvansiyonel ve dokuDoppler ekokardiyografi ile sol ve sağ ventrikülün sistolik ve diyastolik fonksiyonları ölçüldü.Bulgular: Hemodiyaliz sonrası kalp hızı anlamlı olarak artarken ortalama vücut ağırlığı, sistolik vediyastolik kan basınçları azaldı (hepsi için p<0.001). Hemodiyaliz öncesine kıyasla hemodiyaliz sonrasındamitral E/ mitral anulus septal E' ve mitral E/ mitral anulus lateral E' değerleri değişmedi (p= 0.105 ve p=0.165), fakat M-mode, geleneksel ve diğer doku Doppler parametrelerinde anlamlı değişiklikler oldu (tüm pdeğerleri < 0.05 ve < 0.01).Sonuçlar: Mitral E/ septal E' ve mitral E/ lateral E' değerleri dializ sonrası değişmez, bu nedenle hemodiyalizhastalarında diyastolik fonksiyonları değerlendirmek için en iyi parametrelerdir. Konvansiyonel ve diğerdoku Doppler parametreleri hemodiyaliz ile değiştiği için bu hastalarda doğru sonuçlar vermez.

Anahtar Kelime:

Konular: Cerrahi

Son dönem böbrek hastalarında hemodiyalizin sol ve sağ kalp fonksiyonları üzerine etkisi

Öz:

Background: It is known that patients with chronic renal failure are at increased risk for morbidity andmortality. We aimed to assess the effects of hemodialysis on certain parameters used to evaluate left and rightventricular systolic and diastolic functions using conventional and tissue Doppler echocardiography inpatients with end-stage renal insufficiency.Methods: In this prospective observational study, 41 uremic patients were evaluated via echocardiographybefore and 60 minutes after hemodialysis. Systolic and diastolic functions of left ventricle (LV) and rightventricle (RV) were measured by two dimensional, M-Mode, conventional and tissue Dopplerechocardiography.Results: While a significant increase was observed in the mean heart rate after hemodialysis, the mean bodyweight, systolic and diastolic blood pressure values were significantly decreased (all p values< 0.01).Compared to before hemodialysis, mitral E/ mitral annulus septal E' and mitral E/ mitral annulus lateral E' didnot change (p= 0.105 and p= 0.165), but significant alterations were determined in many of M-Mode,conventional and other tissue Doppler echocardiographic parameters after hemodialysis (all p values< 0.05and < 0.01).Conclusions: Mitral E/ septal E' and mitral E/ lateral E' did not change following hemodialysis and thereforeare the best parameters to use to assess diastolic function in hemodialysis patients. Since the otherconventional and traditional Doppler parameters vary with hemodialysis, these are not accuratemeasurements in these patients.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ALPSOY Ş, Akyüz A, Oran M, YAMAN R, AKKOYUN D, TOPÇU B, DEĞİRMENCİ H (2013). Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease. , 114 - 123.
Chicago	ALPSOY Şeref,Akyüz Aydın,Oran Mustafa,YAMAN Reşit,AKKOYUN Dursun Çayan,TOPÇU Birol,DEĞİRMENCİ Hasan Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease. (2013): 114 - 123.
MLA	ALPSOY Şeref,Akyüz Aydın,Oran Mustafa,YAMAN Reşit,AKKOYUN Dursun Çayan,TOPÇU Birol,DEĞİRMENCİ Hasan Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease. , 2013, ss.114 - 123.
AMA	ALPSOY Ş,Akyüz A,Oran M,YAMAN R,AKKOYUN D,TOPÇU B,DEĞİRMENCİ H Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease. . 2013; 114 - 123.
Vancouver	ALPSOY Ş,Akyüz A,Oran M,YAMAN R,AKKOYUN D,TOPÇU B,DEĞİRMENCİ H Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease. . 2013; 114 - 123.
IEEE	ALPSOY Ş,Akyüz A,Oran M,YAMAN R,AKKOYUN D,TOPÇU B,DEĞİRMENCİ H "Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease." , ss.114 - 123, 2013.
ISNAD	ALPSOY, Şeref vd. "Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease". (2013), 114-123.

APA	ALPSOY Ş, Akyüz A, Oran M, YAMAN R, AKKOYUN D, TOPÇU B, DEĞİRMENCİ H (2013). Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease. Harran Üniversitesi Tıp Fakültesi Dergisi, 10(3), 114 - 123.
Chicago	ALPSOY Şeref,Akyüz Aydın,Oran Mustafa,YAMAN Reşit,AKKOYUN Dursun Çayan,TOPÇU Birol,DEĞİRMENCİ Hasan Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease. Harran Üniversitesi Tıp Fakültesi Dergisi 10, no.3 (2013): 114 - 123.
MLA	ALPSOY Şeref,Akyüz Aydın,Oran Mustafa,YAMAN Reşit,AKKOYUN Dursun Çayan,TOPÇU Birol,DEĞİRMENCİ Hasan Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease. Harran Üniversitesi Tıp Fakültesi Dergisi, vol.10, no.3, 2013, ss.114 - 123.
AMA	ALPSOY Ş,Akyüz A,Oran M,YAMAN R,AKKOYUN D,TOPÇU B,DEĞİRMENCİ H Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease. Harran Üniversitesi Tıp Fakültesi Dergisi. 2013; 10(3): 114 - 123.
Vancouver	ALPSOY Ş,Akyüz A,Oran M,YAMAN R,AKKOYUN D,TOPÇU B,DEĞİRMENCİ H Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease. Harran Üniversitesi Tıp Fakültesi Dergisi. 2013; 10(3): 114 - 123.
IEEE	ALPSOY Ş,Akyüz A,Oran M,YAMAN R,AKKOYUN D,TOPÇU B,DEĞİRMENCİ H "Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease." Harran Üniversitesi Tıp Fakültesi Dergisi, 10, ss.114 - 123, 2013.
ISNAD	ALPSOY, Şeref vd. "Effects of hemodialysis on the left and right heart functions in patients with end-stage renal disease". Harran Üniversitesi Tıp Fakültesi Dergisi 10/3 (2013), 114-123.