Venous impedance index and its relation with renal outcomes in patients with heart failure and renal dysfunction

Background. The prevalence of chronic kidney disease (CKD) is increasing every year, which increases the risk of cardiovascular disease and even death. In Cardiorenal syndrome type 2 (CRS2), chronic cardiac dysfunction causes renal dysfunction. The aim of this study was to evaluate Doppler ultrasoun...

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Main Authors: Sepideh Zununi Vahed, Samira Naderi, Seyyedeh Mina Hejazian, Abdolmohammad Ranjbar, Elham Ahmadian, Mohammad Kazem Tarzamani, Mohammadreza Ardalan
Format: Article
Language:fas
Published: Tabriz University of Medical Sciences 2022-02-01
Series:مجله پزشکی دانشگاه علوم پزشکی تبریز
Subjects:
Online Access:https://mj.tbzmed.ac.ir/PDF/mj-43-488.pdf
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author Sepideh Zununi Vahed
Samira Naderi
Seyyedeh Mina Hejazian
Abdolmohammad Ranjbar
Elham Ahmadian
Mohammad Kazem Tarzamani
Mohammadreza Ardalan
author_facet Sepideh Zununi Vahed
Samira Naderi
Seyyedeh Mina Hejazian
Abdolmohammad Ranjbar
Elham Ahmadian
Mohammad Kazem Tarzamani
Mohammadreza Ardalan
author_sort Sepideh Zununi Vahed
collection DOAJ
description Background. The prevalence of chronic kidney disease (CKD) is increasing every year, which increases the risk of cardiovascular disease and even death. In Cardiorenal syndrome type 2 (CRS2), chronic cardiac dysfunction causes renal dysfunction. The aim of this study was to evaluate Doppler ultrasound of renal veins, calculate venous impedance index (VII) and determine their associations with the prognosis of CRS2 syndrome in patients with a history of chronic heart disease and CKD with a good forward function. Methods. In this descriptive-analytical study, 49 patients referred to Imam Reza Hospital in Tabriz with heart failure and renal dysfunction were selected. Renal status, VII and ejection fraction (EF) were evaluated. Results. Mean age of the patients was 61.83±12.39 years, 42.9% of which were women and 57.1% were men. The durations of heart and renal failure were 33.16 ± 13.8 and 11.76±5.1 months, respectively. Significant associations were found between VII and EF of the right and left kidneys (P=0.01 and P =0.03, respectively). But there was no statistically significant relationship between renal function and EF (P =0.54). With increasing edema rate, both VII and EF were decreased; however, these associations were not statistically significant (P >0.05). Conclusion. According to the results, significant associations were found between VII and EF of right and left kidneys, however, no statistically significant correlations were observed between edema and VII mean and EF.
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spelling doaj.art-8f347af0700c40dbaa62d2f1100639132022-12-22T01:37:42ZfasTabriz University of Medical Sciencesمجله پزشکی دانشگاه علوم پزشکی تبریز2783-20312783-204X2022-02-0143648849610.34172/mj.2022.001mj-27626Venous impedance index and its relation with renal outcomes in patients with heart failure and renal dysfunctionSepideh Zununi Vahed0Samira Naderi1Seyyedeh Mina Hejazian2Abdolmohammad Ranjbar3Elham Ahmadian4Mohammad Kazem Tarzamani5Mohammadreza Ardalan6Kidney Research Center, Tabriz University of Medical Sciences, Tabriz, IranKidney Research Center, Tabriz University of Medical Sciences, Tabriz, IranKidney Research Center, Tabriz University of Medical Sciences, Tabriz, IranShaheed Rajaie Cardiovascular, Medical & Research Center, Tehran, IranKidney Research Center, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Radiology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IranKidney Research Center, Tabriz University of Medical Sciences, Tabriz, IranBackground. The prevalence of chronic kidney disease (CKD) is increasing every year, which increases the risk of cardiovascular disease and even death. In Cardiorenal syndrome type 2 (CRS2), chronic cardiac dysfunction causes renal dysfunction. The aim of this study was to evaluate Doppler ultrasound of renal veins, calculate venous impedance index (VII) and determine their associations with the prognosis of CRS2 syndrome in patients with a history of chronic heart disease and CKD with a good forward function. Methods. In this descriptive-analytical study, 49 patients referred to Imam Reza Hospital in Tabriz with heart failure and renal dysfunction were selected. Renal status, VII and ejection fraction (EF) were evaluated. Results. Mean age of the patients was 61.83±12.39 years, 42.9% of which were women and 57.1% were men. The durations of heart and renal failure were 33.16 ± 13.8 and 11.76±5.1 months, respectively. Significant associations were found between VII and EF of the right and left kidneys (P=0.01 and P =0.03, respectively). But there was no statistically significant relationship between renal function and EF (P =0.54). With increasing edema rate, both VII and EF were decreased; however, these associations were not statistically significant (P >0.05). Conclusion. According to the results, significant associations were found between VII and EF of right and left kidneys, however, no statistically significant correlations were observed between edema and VII mean and EF.https://mj.tbzmed.ac.ir/PDF/mj-43-488.pdfcardiovascular diseasechronic kidney diseaseejection fractionheart failurerenal failurevenous impedance index
spellingShingle Sepideh Zununi Vahed
Samira Naderi
Seyyedeh Mina Hejazian
Abdolmohammad Ranjbar
Elham Ahmadian
Mohammad Kazem Tarzamani
Mohammadreza Ardalan
Venous impedance index and its relation with renal outcomes in patients with heart failure and renal dysfunction
مجله پزشکی دانشگاه علوم پزشکی تبریز
cardiovascular disease
chronic kidney disease
ejection fraction
heart failure
renal failure
venous impedance index
title Venous impedance index and its relation with renal outcomes in patients with heart failure and renal dysfunction
title_full Venous impedance index and its relation with renal outcomes in patients with heart failure and renal dysfunction
title_fullStr Venous impedance index and its relation with renal outcomes in patients with heart failure and renal dysfunction
title_full_unstemmed Venous impedance index and its relation with renal outcomes in patients with heart failure and renal dysfunction
title_short Venous impedance index and its relation with renal outcomes in patients with heart failure and renal dysfunction
title_sort venous impedance index and its relation with renal outcomes in patients with heart failure and renal dysfunction
topic cardiovascular disease
chronic kidney disease
ejection fraction
heart failure
renal failure
venous impedance index
url https://mj.tbzmed.ac.ir/PDF/mj-43-488.pdf
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