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Son Dönem Böbrek Yetmezliği Olan Hastalarda Sol Ventrikül Sistolik ve Diyastolik İşlevleri Üzerine Periton Diyalizinin Etkisi

Effect of Peritoneal Dialysis Treatment on Left Ventricular Systolic and Diastolic Functions in Patients with End-Stage Renal Disease

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2014
DOI: 
10.5262/tndt.2014.1003.05

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
OBJECT IVE : To analyze the effect of peritoneal dialysis (PD) treatment on left ventricular systolic and diastolic function in patients with end-stage renal disease (ESRD). MATER IAL and METH ODS: The study population consisted of 51 patients with ESRD. Before a PD catheter was inserted, the patients were evaluated by echocardiography and Doppler tissue imaging (DTI). Then, a PD catheter was inserted. After 6 months, the second echocardiographic evaluations were performed. Left ventricular systolic and diastolic function parameters were compared. RE SULT S: The mean age was 47 ± 13 years and 38 (74.5%) of the patients were male. No significant difference was found in echocardiographic parameters including ejection fraction, fractional shortening, left ventricular mass, left ventricular mass index, left ventricular posterior wall thickness, inter ventricular septal thickness, left atrial diameter, early diastolic filling/late diastolic filling ratio before and after the period of PD. Left ventricular end-systolic diameter and left ventricular end-diastolic diameter values were significantly lower found in the period after PD. CONCLU SION: Our findings appear to reflect somewhat the favourable changes in LV diastolic and systolic functions in PD patients.
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Abstract (Original Language): 
AMAÇ: Çalışmanın amacı, son dönem böbrek yetmezliği (SDBY) olan hastalarda sol ventrikül sistolik ve diyastolik fonksiyonlar üzerine periton diyalizi (PD) tedavisinin etkisini değerlendirmekti. GEREÇ ve YÖNTE MLER : Çalışmaya SDBY olan 51 hasta alındı. PD kateteri takılmadan önce, hastalar ekokardiyografi ve doku Doppler görüntüleme (DDG) ile değerlendirildi. Daha sonra PD kateteri takıldı. Altı ay sonra ikinci bir ekokardiyografik inceleme daha yapıldı. Sol ventrikülün sistolik ve diyastolik işlevleri karşılaştırıldı. BULGUL AR: Hastaların ortalama yaşı 47 ± 13 yıldı ve hastaların 38 (%74,5) tanesi erkekti. PD başlamadan önce ve PD başlandıktan 6 ay sonra bakılan ejeksiyon fraksiyonu, fraksiyonel kısalma, sol ventrikül kitlesi, sol ventrikül kitle indeksi, sol ventrikül arka duvar kalınlığı, ventriküller arası septum kalınlığı, sol atrium çapı, erken diyastolik dolum/geç diyastolik dolum oranını içeren ekokardiyografik parametreler açısından anlamlı fark saptanmadı. Sol ventrikül sistol sonu çapı ve sol ventrikül diyastol sonu çapı PD sonrası dönemde anlamlı olarak daha düşüktü. SONUÇ : Bizim bulgularımız PD hastalarında sol ventrikül diyastolik ve sistolik fonksiyonlarda bir miktar olumlu değişikliğin olduğunu yansıtır gibi görünmektedir.
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209
  • Turkish

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