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Titolo:
Relationship between increased interdialytic body weight and left ventricular hypertrophy in maintenance dialysis patients
Autore:
Wu, SC; Jeng, FR;
Indirizzi:
Kaohsiung Municipal Womens & Childrens Gen Hosp, Div Nephrol Sect, Kaohsiung, Taiwan Kaohsiung Municipal Womens & Childrens Gen Hosp Kaohsiung Taiwan Taiwan
Titolo Testata:
NEPHROLOGY
fascicolo: 2, volume: 6, anno: 2001,
pagine: 85 - 88
SICI:
1320-5358(200104)6:2<85:RBIIBW>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEMODIALYSIS-PATIENTS; BLOOD-PRESSURE; GAIN;
Keywords:
blood pressure; interdialytic weight gain; left ventricular hypertrophy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Wu, SC Kaohsiung Municipal Womens & Childrens Gen Hosp, Div Nephrol Sect, 976 Chang Hwa 1st Rd, Kaohsiung, Taiwan Kaohsiung Municipal Womens & Childrens Gen Hosp 976 Chang Hwa 1st Rd Kaohsiung Taiwan
Citazione:
S.C. Wu e F.R. Jeng, "Relationship between increased interdialytic body weight and left ventricular hypertrophy in maintenance dialysis patients", NEPHROLOGY, 6(2), 2001, pp. 85-88

Abstract

Interdialytic weight gain (IDWG) has been reported to contribute to cardiovascular mortality in haemodialysis patients. In order to determine the relationship of IDWG to the pre-dialysis blood pressure and left ventricular hypertrophy, 168 patients on maintenance haemodialysis were initially evaluated. The IDWG was estimated as the current pre-dialysis weight minus the preceding post-dialytic weight and expressed as a proportion (%) of the current dry weight. Patients were divided into two groups: group I consisted of patients with a mean IDWG > 5% each month for 6 months and group II consisted of patients with a mean IDWG <5% each month for 6 months. As 51 patientshad increased IDWG > 5% on more than one occasion, but fewer than six times, they were not included in the above two groups. Thus, 117 patients (33 men, 84 women) were enrolled in this study. All patients received haemodialysis three times a week, with a duration of 4.6 +/-0.5 h per dialysis session. Pre-dialysis systolic and diastolic blood pressure (SBP, DBP) and left ventricular mass index (LVMI), as determined by echocardiography, were studied regularly. The results demonstrated that the IDWG correlated significantly with age (r=-0.209, P=0.024) and solute removal index (Kt/V) (r=0.254, P=0.006), but did not correlate with pre-dialysis systolic or diastolic blood pressure. In contrast, LVMI correlated with SEP (r=0.816, P<0.001), DBP (r=0.377, P<0.001) and age (r=0.458, P<0.001). Left ventricular hypertrophy presented in 18 group I subjects (81%) and 68 group II subjects (72%) respectively (P<0.001). In conclusion, this study shows that excessive IDWG in patients maintained on haemodialysis does not correlate with pre-dialysis blood pressure, emphasizing that additional factors other than fluid volume may play a role in the control of blood pressure in uraemic patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/01/20 alle ore 13:04:04