Echocardiographic parameters in patients with and without hypotension during dialysis
Introduction: Hypotension during dialysis is a common complication of hemodialysis and is associated with increased patient mortality and morbidity. Intradialytic hypotension is a decrease in systolic BP ≥20 mm Hg or a reduction in mean arterial pressure by 10 mm Hg along with clinical events and th...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tabriz University of Medical Sciences
2021-08-01
|
| Series: | Journal of Cardiovascular and Thoracic Research |
| Subjects: | |
| Online Access: | https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-13-228.pdf |
| _version_ | 1818681207992352768 |
|---|---|
| author | Hoorak Poorzand Farzaneh Sharifipour Abdollah Kerachian Fereshteh Ghaderi Hedieh Alimi Leila Bigdelu Afsoon Fazlinejad Negar Morovatdar Banafsheh Ataei |
| author_facet | Hoorak Poorzand Farzaneh Sharifipour Abdollah Kerachian Fereshteh Ghaderi Hedieh Alimi Leila Bigdelu Afsoon Fazlinejad Negar Morovatdar Banafsheh Ataei |
| author_sort | Hoorak Poorzand |
| collection | DOAJ |
| description | Introduction: Hypotension during dialysis is a common complication of hemodialysis and is associated with increased patient mortality and morbidity. Intradialytic hypotension is a decrease in systolic BP ≥20 mm Hg or a reduction in mean arterial pressure by 10 mm Hg along with clinical events and the need for correction. This study compares cardiac function, using transthoracic echocardiography with strain modality in patients with intradialytic hypotension with those without hypotension during dialysis. Methods: We studied 60 patients with chronic renal failure undergoing regular hemodialysis from April 2018 to February 2019. We compared thirty patients in the intradialytic hypotension group, with the remaining 30 patients in the control group. We did transthoracic echocardiography a day after hemodialysis using conventional, tissue doppler, and strain imaging. Results: Early diastolic mitral annulus velocity (e’) was lower in the intradialytic hypotension group in comparison with the control group which their difference was statistically significant (5.540±1.51 versus 6.920±1.98, P value:0.007) Left Ventricular Ejection Fraction (LVEF) was also significantly lower in the intradialytic hypotension group (51.07± 8.714 versus 59.43±4.133, P value<0.001). Global Longitudinal Strain (GLS) was significantly lower in the intradialytic hypotension group (-14.17±2.79 versus -18.99± 2.25, P value<0.001). The receiver operator characteristics (ROC) curve point-coordinates that GLS of -16.85 and lower (more positive) has 83% sensitivity and 87% specificity for intradialytic hypotension. Conclusion: The echocardiographic assessment could be used as a tool for the prediction of hypotension during dialysis. |
| first_indexed | 2024-12-17T09:59:17Z |
| format | Article |
| id | doaj.art-bff6e2c1cee54beb8e392fbda726f174 |
| institution | Directory Open Access Journal |
| issn | 2008-5117 2008-6830 |
| language | English |
| last_indexed | 2024-12-17T09:59:17Z |
| publishDate | 2021-08-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Journal of Cardiovascular and Thoracic Research |
| spelling | doaj.art-bff6e2c1cee54beb8e392fbda726f1742022-12-21T21:53:20ZengTabriz University of Medical SciencesJournal of Cardiovascular and Thoracic Research2008-51172008-68302021-08-0113322823310.34172/jcvtr.2021.41jcvtr-30308Echocardiographic parameters in patients with and without hypotension during dialysisHoorak Poorzand0Farzaneh Sharifipour1Abdollah Kerachian2Fereshteh Ghaderi3Hedieh Alimi4Leila Bigdelu5Afsoon Fazlinejad6Negar Morovatdar7Banafsheh Ataei8Vascular and Endovascular Surgery Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranKidney Transplantation Research Center, Department of Internal Medicine, Mashhad University of Medical Sciences, Mashhad, IranFaculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranFaculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranVascular and Endovascular Surgery Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Cardiology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Cardiology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, IranClinical Research Unit, Faculty of Medicine,Mashhad University of Medical Sciences, Mashhad, IranFaculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranIntroduction: Hypotension during dialysis is a common complication of hemodialysis and is associated with increased patient mortality and morbidity. Intradialytic hypotension is a decrease in systolic BP ≥20 mm Hg or a reduction in mean arterial pressure by 10 mm Hg along with clinical events and the need for correction. This study compares cardiac function, using transthoracic echocardiography with strain modality in patients with intradialytic hypotension with those without hypotension during dialysis. Methods: We studied 60 patients with chronic renal failure undergoing regular hemodialysis from April 2018 to February 2019. We compared thirty patients in the intradialytic hypotension group, with the remaining 30 patients in the control group. We did transthoracic echocardiography a day after hemodialysis using conventional, tissue doppler, and strain imaging. Results: Early diastolic mitral annulus velocity (e’) was lower in the intradialytic hypotension group in comparison with the control group which their difference was statistically significant (5.540±1.51 versus 6.920±1.98, P value:0.007) Left Ventricular Ejection Fraction (LVEF) was also significantly lower in the intradialytic hypotension group (51.07± 8.714 versus 59.43±4.133, P value<0.001). Global Longitudinal Strain (GLS) was significantly lower in the intradialytic hypotension group (-14.17±2.79 versus -18.99± 2.25, P value<0.001). The receiver operator characteristics (ROC) curve point-coordinates that GLS of -16.85 and lower (more positive) has 83% sensitivity and 87% specificity for intradialytic hypotension. Conclusion: The echocardiographic assessment could be used as a tool for the prediction of hypotension during dialysis.https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-13-228.pdfintradialytic hypotensiontransthoracic echocardiographyleft ventricular ejection fractionglobal longitudinal strain |
| spellingShingle | Hoorak Poorzand Farzaneh Sharifipour Abdollah Kerachian Fereshteh Ghaderi Hedieh Alimi Leila Bigdelu Afsoon Fazlinejad Negar Morovatdar Banafsheh Ataei Echocardiographic parameters in patients with and without hypotension during dialysis Journal of Cardiovascular and Thoracic Research intradialytic hypotension transthoracic echocardiography left ventricular ejection fraction global longitudinal strain |
| title | Echocardiographic parameters in patients with and without hypotension during dialysis |
| title_full | Echocardiographic parameters in patients with and without hypotension during dialysis |
| title_fullStr | Echocardiographic parameters in patients with and without hypotension during dialysis |
| title_full_unstemmed | Echocardiographic parameters in patients with and without hypotension during dialysis |
| title_short | Echocardiographic parameters in patients with and without hypotension during dialysis |
| title_sort | echocardiographic parameters in patients with and without hypotension during dialysis |
| topic | intradialytic hypotension transthoracic echocardiography left ventricular ejection fraction global longitudinal strain |
| url | https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-13-228.pdf |
| work_keys_str_mv | AT hoorakpoorzand echocardiographicparametersinpatientswithandwithouthypotensionduringdialysis AT farzanehsharifipour echocardiographicparametersinpatientswithandwithouthypotensionduringdialysis AT abdollahkerachian echocardiographicparametersinpatientswithandwithouthypotensionduringdialysis AT fereshtehghaderi echocardiographicparametersinpatientswithandwithouthypotensionduringdialysis AT hediehalimi echocardiographicparametersinpatientswithandwithouthypotensionduringdialysis AT leilabigdelu echocardiographicparametersinpatientswithandwithouthypotensionduringdialysis AT afsoonfazlinejad echocardiographicparametersinpatientswithandwithouthypotensionduringdialysis AT negarmorovatdar echocardiographicparametersinpatientswithandwithouthypotensionduringdialysis AT banafshehataei echocardiographicparametersinpatientswithandwithouthypotensionduringdialysis |