肾移植前后左心室肥厚、扩张及射血分数变化的研究

Noha Elkohly, Mohamed Abdelfadeel, Eman Elsharqawy, M. Zeid
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引用次数: 0

摘要

终末期肾病(ESRD)患者有发生严重心血管并发症的危险。左心室肥厚是观察到的最普遍的心脏发现。肾移植是最好的肾脏替代方式提供给这些患者预期改善心血管并发症。本研究的目的是比较肾移植前后左心室肥厚、扩张和射血分数的变化。患者和方法本横断面研究包括30例肾移植受者。所有患者均于移植前及移植后6-12个月行超声心动图检查。有移植后排斥或心力衰竭病史的患者被排除在研究之外。所有患者移植前均进行血液透析,肾移植后平均持续时间为10.33±1.95个月。所有患者接受相同的移植后免疫抑制方案。结果肾移植前后左室射血分数平均值分别为59.70±7.86和68.82±7.93 (P<0.001)。平均左室质量指数由移植前的144.1±44.15改善至移植后的115.1±38.79,P值为0.002。结论根据本研究结果,肾移植可改善ESRD患者左心室参数。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Study of left ventricle hypertrophy, dilatation, and ejection fraction changes before and after kidney transplantation
Background People with end-stage renal disease (ESRD) are at risk of developing serious cardiovascular complications. Left ventricular hypertrophy is the most prevalent cardiac finding observed. Renal transplantation is the best renal replacement modality offered to these patients with an expected improvement in cardiovascular complications. The aim of this work the present study aims to compare changes in left ventricle hypertrophy, dilatation, and ejection fraction before and after kidney transplantation. Patients and methods This cross-sectional study included 30 renal transplant recipients. Echocardiography was performed for all patients before transplantation and 6–12 months after transplantation. Patients with a reported history of posttransplant rejection or heart failure were excluded from the study. All patients were on hemodialysis before transplantation, and the mean postrenal transplant duration was 10.33 ± 1.95 months. All patients received the same posttransplant immunosuppressive regimen. Results The mean left ventricular ejection fraction before and after renal transplantation was 59.70 ± 7.86 and 68.82 ± 7.93, respectively (P<0.001). The mean left ventricular mass index showed a significant improvement from 144.1 ± 44.15 before transplant to 115.1 ± 38.79 after transplant, with a P value of 0.002. Conclusion According to the results of this study, renal transplantation can improve left ventricle parameters in patients with ESRD.
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