CARDIAC PERFORMANCE IN END STAGE RENAL DISEASE DIABETIC PATIENTS WITH ARTERIOVENOUS FISTULA
<p class="abstract"><strong>Abstract</strong></p> <p class="abstract"><strong> BACKGROUND:</strong> Access to vascular system needed for hemodialysis among patients in end stage renal disease (ESRD). Cardiac performanc...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Vesnu Publications
2010-12-01
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| Series: | ARYA Atherosclerosis |
| Online Access: | http://arya.mui.ac.ir/index.php/arya/article/view/91 |
| _version_ | 1818591970107326464 |
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| author | Ali-Akbar Beigi Alireza Khosravi Amir Mir-Mohammad Sadeghi Mansour Safaei |
| author_facet | Ali-Akbar Beigi Alireza Khosravi Amir Mir-Mohammad Sadeghi Mansour Safaei |
| author_sort | Ali-Akbar Beigi |
| collection | DOAJ |
| description | <p class="abstract"><strong>Abstract</strong></p> <p class="abstract"><strong> BACKGROUND:</strong> Access to vascular system needed for hemodialysis among patients in end stage renal disease (ESRD). Cardiac performance has been affected by chronic renal failure based on several known causes during diseases process. We have compared in this study some of cardiac performance indicators before and after fistulization in diabetic and non-diabetic ESRD patients.</p> <p class="abstract"><strong> METHODS:</strong> Fifty ESRD patients were included in the study. Systolic pulmonary arterial pressure (PAP), cardiac output (CO) and ejection fraction (EF) were measured by echocardiography before fistulization and was repeated at least 8 months after fistulization. Data analyzed in diabetic and non-diabetic patients.</p> <p class="abstract"><strong>RESULTS: </strong>Thirty four patients were included in analysis (28 men and 6 women). Mean time of follow up was 10.5 ± 1.3 months. The mean of PAP before and after fistulization was 25.16 mmHg and 21.3 mmHg, respectively in all individuals (P > 0.05). The mean of cardiac output before and after making fistula was 5580 ml/min and 5680 ml/min, respectively (P < 0.05). Diabetic patients showed a significant reduction in their mean of cardiac ejection fraction before and after intervention (EF1 = 66.9%, EF2 = 51.4%) comparing with non-diabetic patients <br /> (EF1 = 58.5, EF2 = 57.5) (P < 0.05). PAP changes and CO changes had not any significant difference between diabetic and non-diabetic patients.</p> <p class="abstract"><strong>DISCUSSION:</strong> Fistulization in ESRD patients can improve cardiac performance among these patients. This change may be differing among patients based on the cause of renal failure. Diabetes mellitus may be one of the parameters that can modulate this affect. This should be test in more detailed studies.</p> <p class="abstract"> </p><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td width="35" height="12"><br /></td></tr> <tr><td><br /></td> <td> </td></tr></tbody></table><p class="abstract"> </p> <br /> <p class="abstract"><strong>Keywords:</strong> Fistulization, End Stage Renal Diseases, Cardiac Performance, Diabetes mellitus</p> |
| first_indexed | 2024-12-16T10:20:53Z |
| format | Article |
| id | doaj.art-6d68d9ff5d4a4abf9a384ffe9adca830 |
| institution | Directory Open Access Journal |
| issn | 1735-3955 2251-6638 |
| language | English |
| last_indexed | 2024-12-16T10:20:53Z |
| publishDate | 2010-12-01 |
| publisher | Vesnu Publications |
| record_format | Article |
| series | ARYA Atherosclerosis |
| spelling | doaj.art-6d68d9ff5d4a4abf9a384ffe9adca8302022-12-21T22:35:19ZengVesnu PublicationsARYA Atherosclerosis1735-39552251-66382010-12-014180CARDIAC PERFORMANCE IN END STAGE RENAL DISEASE DIABETIC PATIENTS WITH ARTERIOVENOUS FISTULAAli-Akbar Beigi0Alireza Khosravi1Amir Mir-Mohammad Sadeghi2Mansour Safaei3Assistant Professor, Vascular surgery department, Chamran Hospital, Isfahan University of Medical Sciences, Isfahan.Assistant Professor, Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences, Isfahan.Assistant Professor, Department of General Surgery, Kashan University of Medical Scienses, Kashan.Associate Professor, Department of Surgery, Isfahan University of Medical Sciences, Isfahan.<p class="abstract"><strong>Abstract</strong></p> <p class="abstract"><strong> BACKGROUND:</strong> Access to vascular system needed for hemodialysis among patients in end stage renal disease (ESRD). Cardiac performance has been affected by chronic renal failure based on several known causes during diseases process. We have compared in this study some of cardiac performance indicators before and after fistulization in diabetic and non-diabetic ESRD patients.</p> <p class="abstract"><strong> METHODS:</strong> Fifty ESRD patients were included in the study. Systolic pulmonary arterial pressure (PAP), cardiac output (CO) and ejection fraction (EF) were measured by echocardiography before fistulization and was repeated at least 8 months after fistulization. Data analyzed in diabetic and non-diabetic patients.</p> <p class="abstract"><strong>RESULTS: </strong>Thirty four patients were included in analysis (28 men and 6 women). Mean time of follow up was 10.5 ± 1.3 months. The mean of PAP before and after fistulization was 25.16 mmHg and 21.3 mmHg, respectively in all individuals (P > 0.05). The mean of cardiac output before and after making fistula was 5580 ml/min and 5680 ml/min, respectively (P < 0.05). Diabetic patients showed a significant reduction in their mean of cardiac ejection fraction before and after intervention (EF1 = 66.9%, EF2 = 51.4%) comparing with non-diabetic patients <br /> (EF1 = 58.5, EF2 = 57.5) (P < 0.05). PAP changes and CO changes had not any significant difference between diabetic and non-diabetic patients.</p> <p class="abstract"><strong>DISCUSSION:</strong> Fistulization in ESRD patients can improve cardiac performance among these patients. This change may be differing among patients based on the cause of renal failure. Diabetes mellitus may be one of the parameters that can modulate this affect. This should be test in more detailed studies.</p> <p class="abstract"> </p><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td width="35" height="12"><br /></td></tr> <tr><td><br /></td> <td> </td></tr></tbody></table><p class="abstract"> </p> <br /> <p class="abstract"><strong>Keywords:</strong> Fistulization, End Stage Renal Diseases, Cardiac Performance, Diabetes mellitus</p>http://arya.mui.ac.ir/index.php/arya/article/view/91 |
| spellingShingle | Ali-Akbar Beigi Alireza Khosravi Amir Mir-Mohammad Sadeghi Mansour Safaei CARDIAC PERFORMANCE IN END STAGE RENAL DISEASE DIABETIC PATIENTS WITH ARTERIOVENOUS FISTULA ARYA Atherosclerosis |
| title | CARDIAC PERFORMANCE IN END STAGE RENAL DISEASE DIABETIC PATIENTS WITH ARTERIOVENOUS FISTULA |
| title_full | CARDIAC PERFORMANCE IN END STAGE RENAL DISEASE DIABETIC PATIENTS WITH ARTERIOVENOUS FISTULA |
| title_fullStr | CARDIAC PERFORMANCE IN END STAGE RENAL DISEASE DIABETIC PATIENTS WITH ARTERIOVENOUS FISTULA |
| title_full_unstemmed | CARDIAC PERFORMANCE IN END STAGE RENAL DISEASE DIABETIC PATIENTS WITH ARTERIOVENOUS FISTULA |
| title_short | CARDIAC PERFORMANCE IN END STAGE RENAL DISEASE DIABETIC PATIENTS WITH ARTERIOVENOUS FISTULA |
| title_sort | cardiac performance in end stage renal disease diabetic patients with arteriovenous fistula |
| url | http://arya.mui.ac.ir/index.php/arya/article/view/91 |
| work_keys_str_mv | AT aliakbarbeigi cardiacperformanceinendstagerenaldiseasediabeticpatientswitharteriovenousfistula AT alirezakhosravi cardiacperformanceinendstagerenaldiseasediabeticpatientswitharteriovenousfistula AT amirmirmohammadsadeghi cardiacperformanceinendstagerenaldiseasediabeticpatientswitharteriovenousfistula AT mansoursafaei cardiacperformanceinendstagerenaldiseasediabeticpatientswitharteriovenousfistula |