Home Bratislava Medical Journal 2013 Bratislava Medical Journal Vol.114, No.11, p.629-633, 2013

Journal info


 


Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

Impact factor 1.2

 

Aims and Scope
Editorial Info
Submission Guidelines

Select Journal







Webshop Cart

Your Cart is currently empty.

Info: Your browser does not accept cookies. To put products into your cart and purchase them you need to enable cookies.

Bratislava Medical Journal Vol.114, No.11, p.629-633, 2013

Title: Blood pressure impact on left ventricular geometry in chronic haemodialysis patients
Author: K. Bobocka, J. Dubrava, P. Slezak, I. Waczulikova, D. Eisnerova, A. Lehotska, P. Pontuch

Abstract:

Aim: Left ventricular hypertrophy in chronic haemodialysis patients is multifactorial. Our aim was to evaluate retrospectively the relationship between 24-h blood pressure monitoring and geometry and function of left ventricle (LV).
Patients a methods: We examined 50 patients (men/women 33/17) treated by chronic haemodialysis (>3 months) aged 57.5 years (53–63; median, interquartile range). We measured blood pressure during 24 hours in short interdialytic period using Spacelab monitor 90217. Echocardiography was provided in short interdialytic period.

Results: Left ventricular mass index significantly correlated with SBP (tau-b=0.21; p=0.030; 95%CI 0.01–0.42), DBP (tau-b=0.23; p=0.018; 95%CI 0.04–0.42) and MAP (tau-b =0.26; p=0.009; 95%CI 0.06–0.45).

SBP, DBP, MAP and PP did add a significant information to the prediction of relative wall thickness. We did not find any relationship between BP and left ventricular ejection fraction, left ventricular enddiastolic diameter and left atrial size.
Conclusion: We found out an important 24-hour blood pressure impact on left ventricular relative wall thickness and left ventricular mass index. Left ventricular ejection fraction, left ventricular enddiastolic diameter and left atrial size were not related to 24-hour blood pressure. We did not find a relationship between blood pressure and left ventricular enddiastolic diameter. From all diastolic parameters the strongest association was found between systolic blood pressure in all three phases and ratio of peak early to late diastolic filling velocity (Tab. 5, Ref. 19).



Keywords: myocardial hypertrophy, haemodialysis, 24-hour ambulatory blood pressure monitoring.
Year: 2013, Volume: 114, Issue: 11 Page From: 629, Page To: 633
doi:10.4149/BLL_2013_134


download file



© AEPress s.r.o
Copyright notice: For any permission to reproduce, archive or otherwise use the documents in the ELiS, please contact AEP.