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肾移植术后终末期肾病患者左心室质量指数的变化

Changes of left ventricular mass index among end-stage renal disease patients after renal transplantation.

作者信息

Namazi Mohammad Hassan, Parsa Saeed Alipour, Hosseini Banafshe, Saadat Habibollah, Safi Morteza, Motamedi Mohammad Reza, Vakili Hossein

机构信息

Cardiovascular Research Center,Modarres Hospital, Shahid Beheshti University, MC, Tehran, Iran.

出版信息

Urol J. 2010 Jun 10;7(2):105-9.

Abstract

PURPOSE

The aim of this study was to determine left ventricular (LV) mass index via echocardiography in end-stage renal disease patients (ESRD) before and after renal transplantation, and its association with one-year survival.

MATERIALS AND METHODS

Forty-seven patients with ESRD who were candidate for renal transplantation were evaluated with echocardiography before and 4 months after the operation. Left ventricular ejection fraction (EF), LV mass, and LV mass index were determined. All of the patients were followed up for 1 year.

RESULTS

Mean LVEF was 51.6% which increased to 53.7% after renal transplantation (P = .001). Mean LV mass was 209 gr before the operation which decreased to 189 gr after the operation (P = .001). Mean LV mass index before the operation was 120 gr/m2 which decreased to 110 gr/m2 following the operation (P = .002). All of the patients survived during 1-year follow-up, and no death was reported.

CONCLUSION

Renal transplantation had beneficial effects in terms of LV function in young patients with ESRD.

摘要

目的

本研究旨在通过超声心动图测定终末期肾病患者(ESRD)肾移植前后的左心室(LV)质量指数,并探讨其与一年生存率的关系。

材料与方法

对47例拟行肾移植的ESRD患者在术前及术后4个月进行超声心动图评估。测定左心室射血分数(EF)、LV质量和LV质量指数。所有患者随访1年。

结果

平均左心室射血分数(LVEF)为51.6%,肾移植后升至53.7%(P = 0.001)。术前平均LV质量为209克,术后降至189克(P = 0.001)。术前平均LV质量指数为120克/平方米,术后降至110克/平方米(P = 0.002)。所有患者在1年随访期间均存活,无死亡报告。

结论

肾移植对年轻ESRD患者的LV功能有有益影响。

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