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KRONIK BÖBREK YETERSIZLIĞI OLAN HASTALARDA SOL VENTRIKÜL FONKSIYONLARıNıN EKOKARDIYOGRAFIK DEĞERLENDIRILMESI

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 1999

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Echocardiographic evaluation of left ventricuîar funetions in children with ehronic renal disease. Left ventricuîar abnormalities is the leading cause of morbility in ehronic renal faİlure. In this study echocardiographic abnormalities of cardiac funetion and strueture were studied in children (ages betvveen 11-16 years old) with ehronic renal faİlure (n=I0) and with endstage renal failure treated with ehronic hemodialysis (n=10). The results were compared wifb control groups, includirıg healthy children with similar height and weight parameters. Left ventricuîar muscle index was'found to be significantly inereased in both groups (175+60 gr/m2 and 100 g/m2 respectively). Doppler echocardiography studies revealed diastolic dysfunction in end-stage renal failure group witlı normal systolic funetions. Both funetions were in the normal range in ehronic renal failure group. The study demonstrated that severe left ventricuîar abnormalities are common fİndings in children with end-stage renal failure. Despite left ventricuîar hypertrophy, systolic and diastolic funetions were found to be in the normal range in children with ehronic renal failure.
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Abstract (Original Language): 
Kronik böbrek yetersizliği olan hastalarda sol ventrikül yapı ve fonksiyon değiş ildikleri ekokardiyografi ite değerlendirildi. Çalışma, yaşları 11 ile 16 yıl {ort: 13.0+1.4 yıl) arasında olan 10 hemodiyaliz gerektiren son-dönem böbrek yetersizliği ve 10 diyaliz gereksinimi olmayan kronik böbrek yetersizliği tanılı hasta ile tartı ve boyları hasta grupları ile benzer 10'ar sağlıklı çocuktan oluşan iki ayrı kontrol grubunda yapıldı. Hastaların fizik muayene ve biyokimyasal incelemelerinin yanı sıra iki boyutlu, M-Mode ve PW Doppler ekokardiyografi ile sol ventrikül sistolik ve diyastolik fonksiyonları incelendi. Son dönem böbrek yetersizliğindeki hastalarda sol ventrikül kas kitlesi indeksi 175±60 gr/m2 olarak saptanmış olup, yapılan değerlendirmede %90 oranında sol ventrikül hipertrofisi bulunmuştur. Bu hastalarda diyastolik disfonk siy onunun da başladığı ancak sistolik fonksiyonların korunduğu görüldü. Hemodiyaliz gereksinimi olmayan kronik böbrek yetersizliğindeki hastalarda ise %50 oranında sol ventrikül hipertrofisi gelişmiş olmakla beraber sistolik ve diyastolik fonksiyonlar normal sınırlar içindeydi.
FULL TEXT (PDF): 
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  • 4
400-405
  • Turkish

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