Change of Cardiac Structure and Function before and after Peritoneal Dialysis in Patients with Uremia_West China Medical Journal

Authors：

 ZhangLiemei , CaiPanpan ,  TangXiaohong

Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

TangXiaohong, Email: xhtng@126.com

Keywords：

Uremia; Peritoneal dialysis; Cardiac structure; Ejection fraction

DOI：

10.7507/1002-0179.201600178

Video：

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Objective To investigate the change of cardiac structure and function in patients with uremia before and after peritoneal dialysis (PD). Methods Eighty three standard continuous ambulatory peritoneal dialysis (CAPD) patients treated between October 2009 and October 2014 were selected in this study. According to the ultrasound cardiogram before and 6 months after the PD, we analyzed the influence of age, diabetes mellitus, dialysis interval, hemoglobin, serum albumin, serum creatinine, serum calcium and phosphate and parathyroid hormone (PTH) on the cardiac structure and function. Results Hemoglobin increased significantly after PD (P <0.01), while albumin and PTH decreased significantly (P <0.01). The changes in creatinine, triglyceride and cholesterol were not statistically significant (P > 0.05). For CAPD patients, cardiac systolic function did no t obviously change before and after dialysis, while the diastolic function improved obviously after dialysis. Conclusion PD may improve cardiac diastolic function of CAPD patients.

Citation： ZhangLiemei, CaiPanpan, TangXiaohong. Change of Cardiac Structure and Function before and after Peritoneal Dialysis in Patients with Uremia. West China Medical Journal, 2016, 31(4): 647-649. doi: 10.7507/1002-0179.201600178 Copy

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14.	梁剑波, 温德良, 江丽屏, 等. 腹膜透析患者心血管病死亡与钙磷代谢关系的回顾性分析[J]. 中国实用内科杂志, 2008, 28(增刊1): 103-104.
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1. Al-Dadah A, Omran J, Nusair MB, et al. Cardiovascular mortality in dialysis patients[J]. Adv Perit Dial, 2012, 28(28): 56-59.
2. Teitelbaum I. Peritoneal dialysis is appropriate for elderly patients[J]. Contrib Nephrol, 2006, 150(150): 240-246.
3. Yang X, Fang W, Kothari J, et al. Clinical outcomes of elderly patients undergoing chronic peritoneal dialysis: experiences from one center and a review of the literature[J]. Int Urol Nephrol, 2007, 39(4): 1295-1302.
4. Kwan BC, Szeto CC.Is peritoneal dialysis kinder for the heart? Perit Dial Int, 2011, 31(2): 135-137.
5. Renal Data System USRDS 2004 annual data report atlas of end-stage renal disease in the United States Bethesda. MdNational institutes of health[Z], 2004.
6. 侯凡凡. 慢性肾脏病的心血管并发症[J]. 中华心血管杂志, 2004, 32(Suppl): 16.
7. Foley RN, Sarnak MJ. Epidemiology of cardiovascular disease in chronic renal disease[J]. J Am Soc Nephrol, 1998, 9(12 Suppl): S16-S23.
8. Miller LM, Sood MM, Sood AR, et al. Cardiovascular disease in end-stage renal disease: the challenge of assessing and managing cardiac disease in dialysis patients[J]. Int Urol Nephrol, 2010, 42(4): 1007-1014.
9. 肖寿海. 持续性不卧床腹膜透析患者并发低蛋白血症临床分析[J]. 河北医学, 2011, 17(2): 211-213.
10. Wang AY, Woo J, Wang M, et al. Association of inflammation and malnutrition with cardiac valve calcification in continuous ambulatory peritoneal dialysis patients[J]. J Am Soc Nephrol, 2001, 12(9): 1927-1936.
11. Civilibal M, Caliskan S, Adaletli I, et al. Coronary artery calcifications in children with end-stage renal disease[J]. Pediatr Nephrol, 2006, 21(10): 1426-1433.
12. Amann K, Gross ML, London GM, et al. Hyperphosphataemia: silent killer of patients with renal failure?[J]. Nephrol Dial Transplant, 1999, 14(9): 2085-2087.
13. Stenvinkel P, Heimbürger O, Lindholm B, et al. Are there two types of malnutrition in chronic renal failure? Evidence for relationships between malnutrition, inflammation and atherosclerosis (MIA syndrome)[J]. Nephrol Dial Transplant, 2000, 15(7): 953-960.
14. 梁剑波, 温德良, 江丽屏, 等. 腹膜透析患者心血管病死亡与钙磷代谢关系的回顾性分析[J]. 中国实用内科杂志, 2008, 28(增刊1): 103-104.
15. 侯凡凡, 马志刚, 梅长林, 等. 我国五省市、自治区慢性肾脏病患者心血管疾病的危险因素调查[J]. 中华医学杂志, 2005, 85(11): 753-759.

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