Acute improvement of aortic mechanics following hemodialysis in patients with chronic renal failure.

BACKGROUND: Evidence suggests that distensibility of the aorta is decreased in patients with end-stage renal failure, while the underlying mechanisms are unclear. HYPOTHESIS: The purpose of the study was to evaluate the distensibility of the aorta in patients at the end stage of chronic renal failu...

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Main Authors: Soubassi, L, Tousoulis, D, Antoniades, C, Lambrou, S, Aggeli, C, Chaniotis, D, Soubassi, S, Pitsavos, C, Stefanadis, C, Soubassis, P, Toutouzas, P
Format: Journal article
Language:English
Published: 2006
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author Soubassi, L
Tousoulis, D
Antoniades, C
Lambrou, S
Aggeli, C
Chaniotis, D
Soubassi, S
Pitsavos, C
Stefanadis, C
Soubassis, P
Toutouzas, P
author_facet Soubassi, L
Tousoulis, D
Antoniades, C
Lambrou, S
Aggeli, C
Chaniotis, D
Soubassi, S
Pitsavos, C
Stefanadis, C
Soubassis, P
Toutouzas, P
author_sort Soubassi, L
collection OXFORD
description BACKGROUND: Evidence suggests that distensibility of the aorta is decreased in patients with end-stage renal failure, while the underlying mechanisms are unclear. HYPOTHESIS: The purpose of the study was to evaluate the distensibility of the aorta in patients at the end stage of chronic renal failure before and after hemodialysis (HD). METHODS: The diameter of the ascending aorta and distensibility were assessed in 48 patients on HD (31 men, 17 women, aged 45+/-14 years) and in 27 normal subjects (17 men, 10 women, aged 44+/-14 years). The diameter of the aorta was evaluated by M-mode in the parasternal long-axis view. RESULTS: Aortic distensibility was significantly lower in patients on HD before HD (1.9+/-0.7 cm(2) x dyn(-1) x 10(-6)) than in normal control subjects (3.8+/-1.0 cm(2) x dyn(-1) X 10(-6), p< 0.0001). After dialysis, it increased to 2.6+/-1.2 (p < 0.05 compared with baseline, p < 0.001 compared with controls). The change of aortic distensibility correlated with age (R(2) = 0.629 p < 0.001) and ultrafiltration volume (R(2) = 0.168, p < 0.01). CONCLUSIONS: Aortic distensibility in patients with end-stage renal disease is significantly lower than in normal subjects, and it is significantly improved after HD.
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spelling oxford-uuid:9cc970e3-56d0-40d2-bcb2-853275034ec82022-03-27T00:38:37ZAcute improvement of aortic mechanics following hemodialysis in patients with chronic renal failure.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:9cc970e3-56d0-40d2-bcb2-853275034ec8EnglishSymplectic Elements at Oxford2006Soubassi, LTousoulis, DAntoniades, CLambrou, SAggeli, CChaniotis, DSoubassi, SPitsavos, CStefanadis, CSoubassis, PToutouzas, P BACKGROUND: Evidence suggests that distensibility of the aorta is decreased in patients with end-stage renal failure, while the underlying mechanisms are unclear. HYPOTHESIS: The purpose of the study was to evaluate the distensibility of the aorta in patients at the end stage of chronic renal failure before and after hemodialysis (HD). METHODS: The diameter of the ascending aorta and distensibility were assessed in 48 patients on HD (31 men, 17 women, aged 45+/-14 years) and in 27 normal subjects (17 men, 10 women, aged 44+/-14 years). The diameter of the aorta was evaluated by M-mode in the parasternal long-axis view. RESULTS: Aortic distensibility was significantly lower in patients on HD before HD (1.9+/-0.7 cm(2) x dyn(-1) x 10(-6)) than in normal control subjects (3.8+/-1.0 cm(2) x dyn(-1) X 10(-6), p< 0.0001). After dialysis, it increased to 2.6+/-1.2 (p < 0.05 compared with baseline, p < 0.001 compared with controls). The change of aortic distensibility correlated with age (R(2) = 0.629 p < 0.001) and ultrafiltration volume (R(2) = 0.168, p < 0.01). CONCLUSIONS: Aortic distensibility in patients with end-stage renal disease is significantly lower than in normal subjects, and it is significantly improved after HD.
spellingShingle Soubassi, L
Tousoulis, D
Antoniades, C
Lambrou, S
Aggeli, C
Chaniotis, D
Soubassi, S
Pitsavos, C
Stefanadis, C
Soubassis, P
Toutouzas, P
Acute improvement of aortic mechanics following hemodialysis in patients with chronic renal failure.
title Acute improvement of aortic mechanics following hemodialysis in patients with chronic renal failure.
title_full Acute improvement of aortic mechanics following hemodialysis in patients with chronic renal failure.
title_fullStr Acute improvement of aortic mechanics following hemodialysis in patients with chronic renal failure.
title_full_unstemmed Acute improvement of aortic mechanics following hemodialysis in patients with chronic renal failure.
title_short Acute improvement of aortic mechanics following hemodialysis in patients with chronic renal failure.
title_sort acute improvement of aortic mechanics following hemodialysis in patients with chronic renal failure
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