Volume control associated with better cardiac function in long-term peritoneal dialysis patients

Basit Öğe Kaydı
dc.contributor.authorAsci, G
dc.contributor.authorOzkahya, M
dc.contributor.authorDuman, S
dc.contributor.authorToz, H
dc.contributor.authorErten, S
dc.contributor.authorOk, E
dc.date.accessioned2019-10-27T19:21:02Z
dc.date.available2019-10-27T19:21:02Z
dc.date.issued2006
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: This study was undertaken to investigate the effect of tong-term blood pressure (BP) reduction, achieved with salt restriction and strict volume control, on frequency and regression of left ventricular hypertrophy (LVH) in tong-term peritoneal dialysis (PD) patients. Methods: 56 patients who had been treated for more than 2 years under our care were enrolled. After echocardiographic (Echo) evaluation, 46 patients were included in the follow-up study. In our unit, we aim to keep patients' BP below 130/85 mmHg and cardiothoracic index below 0.50. To reach these targets, moderate salt restriction is advised, and if necessary, hypertonic PD solutions are used. Echo was performed at the beginning of the study (after a mean period of 36 months on PD) and at the end of the prospective follow-up period (24 months later). Results: At the time of the first Echo, LVH was detected in only 8 (21%) patients. Residual urine volume was significantly decreased compared to data taken when they first started PO (658 +/- 795 vs 236 +/- 307 mL/day). Mean Left ventricular mass index (LVMI) was 107 +/- 26.5 g/m(2). LVMI was significantly decreased at the end of the follow-up in patients who had LVH at baseline. No LVH developed in patients who had normal LVMI at baseline. Conclusion: Our results indicate that control of hypertension is possible when extracellular fluid volume is kept under control using hypertonic PD solutions in case of recruitment in addition to salt restriction in Long-term PD patients. Sustained normovolemia is associated with tow incidence and regression of LVH.en_US
dc.identifier.endpage88en_US
dc.identifier.issn0896-8608
dc.identifier.issue1en_US
dc.identifier.pmid16538880en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage85en_US
dc.identifier.urihttps://hdl.handle.net/11454/38945
dc.identifier.volume26en_US
dc.identifier.wosWOS:000235412200012en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMultimed Incen_US
dc.relation.ispartofPeritoneal Dialysis Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjecthypertensionen_US
dc.subjectvolume controlen_US
dc.subjectleft ventricular hypertrophyen_US
dc.titleVolume control associated with better cardiac function in long-term peritoneal dialysis patientsen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu