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Kronik Böbrek Hastalarında Hemodiyalizin Sol Ventrikül Fonksiyonları Üzerine Olan Etkisinin Ekokardiyografi ile Noninvaziv Değerlendirilmesi

Echocardiographic noninvasive evaluation of the effect of hemodialysis on left ventricle function in patients with chronic renal failure

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Abstract (2. Language): 
To evaluate the effect of hemodialysis on left ventricle function in patients with chronic renal failure, it was studied total 17 patients (11 male and 6 female). From diastolic function parameters peak E wave velocity (PEV), Peak A velocity (PAV), PEV/PAV, E deceleration time (mS) (EDT), and isovolumic relaxation time (IVRT), were found before and after hemodialysis as (72±31, 83±31cm/sec., p<0.001), (65±20, 59±15cm/sec, p<0.009), (1.11±0.3, 1.41±0.39, p<0.01), (158±39,148±38m, p<0.004), (110±28, 94±31mS, p<0.005), respectively. From systolic function parameters Ejection fraction (EF), Cardiac output (CO), Cardiac index (CI), Fractional shortening (FS), Stroke volume (SV), Stroke volume index (SVI), End-diastolic volume (EDV), and End-systolic volume (ESV) were found before and after as (56±8,53±9%, p>0.05), (4.9±2.6 lt/min, 4.6±1.2 lt/min, p>0.05), (3±1.3 lt/min, 3.2±1 lt/min, p>0.05), (31 ±12, 32±12 p>0.05), (56±30ml, 57±14ml, p>0.05), (36±1, 39±11ml/m2, p>0.05), (111 ±36, 102±34ml, p<0.02), (45±14, 43±13ml, p<0.07) respectively. It was concluded that hemodialysis is ineffected on left ventricle systolic function (except EDV) and improved diastolic function. [Journal of Turgut Özal Medical Center 1996;3(2):97-100]
Abstract (Original Language): 
Hemodiyalizin sol ventrikül fonksiyonları üzerine olan etkilerini ekokardiyografi ile noninvaziv olarak incelemek için erkek, 6'sı kadın toplam 17 tane kronik böbrek hastası çalışıldı. Diyastolik fonksiyon parametrelerinden Pik E velosite (PEV), Pik A velosite (PAV), PEV/PAV, E deselerasyon zamanı (EDT) ve İzovolümik relaksasyon zamanı (İVRT) diyaliz öncesi ve sonrası sırasıyla (72±31, 83±31cm/sn, p<0.001), (65+20, 59±15cm/sn, p<0.009), (1.11±0.3,1.41 ±0.39, p<0.01), (158±39,148±38ms, p<0.004), (110±28, 94±31ms, p<0.005) bulundu. Sistolik fonksiyon parametrelerinden Ejeksiyon Fraksiyonu (EF), Kardiyak debi (CO), Kardiyak indeks (CI), Fraksiyonel kısalma (FS), Strok volüm (SV), Strok volüm indeksi(SVİ), End-diyastolik volüm (EDV), End-sistolik volüm(ESV) ise diyaliz öncesi ve sonrası sırasıyla: (56±8, 53±9%, p>0.05), (4.9±2.6, 4.6±1.2 L/dk, p>0.05), (3±1.3, 3.2±1 L/dk/m2, p>0.05), (31 ±12, 32±12, p>0.05), (56±30, 57±14ml, p>0.05), (36±15, 39±11ml/m2, p>0.05), (111 ±36, 102±34ml, p<0.02), (45±14, 43±13ml, p<0.07) olarak bulundu. Sonuç olarak hemodiyalizin diyastolik fonksiyonları iyileştirdiği, sistolik fonksiyonları ise EDV hariç istatiksel olarak etkilemediği bulundu. [Turgut Özal Tıp Merkezi Dergisi 1996;3(2):97-100]
97-100

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