Díaz-Arrieta Gustavo, Mendoza-Hernández María Elsa, Pacheco-Aranda Erika, Rivas-Duro Miguel, Robles-Parra Héctor Manuel, Espinosa-Vázquez Raúl Arturo, Hernández-Cabrera Jorge
Servicio de Medicina Interna, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, Distrito Federal, México.
Rev Med Inst Mex Seguro Soc. 2010 Jan-Feb;48(1):17-23.
In diabetic patients with chronic renal failure (CRF) treated with dialysis, the diastolic and systolic left ventricular dysfunction is frequent. The aim was to assess by echocardiography the prevalence of diastolic and systolic ventricular dysfunction in diabetic patients with CRF treated with continuous ambulatory peritoneal dialysis (CAPD).
Sixty diabetic patients with CRF in CAPD were studied. The mean age was 54.5 +/- 12 years (27-78 years). The left ventricular filling pattern (LVFP) as a diastolic function parameter and left ventricular ejection fraction (LVEF) as a systolic function parameter were measured by transthoracic echocardiography. Descriptive statistical analysis was used.
27 (45 %) patients were women and 33 (55 %) were men. In 55 (91.7 %) left ventricular concentric hypertrophy was observed. Fifty-two patients (86.7 %) showed LVFP type I; three (5 %) had the type II; two (3.3 %) showed pseudonormal pattern and three (5 %) had a normal LVFP. The LVEF was 0.63 +/- 0.09 (CI = 0.41-0.82). Forty nine (81.7 %) patients had LVEF equal or greater than 0.55.
The prevalence of diastolic left ventricular dysfunction was 95 % and the prevalence of systolic left ventricular dysfunction was 18.3%.
在接受透析治疗的糖尿病合并慢性肾衰竭（CRF）患者中，舒张期和收缩期左心室功能障碍很常见。目的是通过超声心动图评估接受持续性非卧床腹膜透析（CAPD）治疗的糖尿病合并CRF患者舒张期和收缩期心室功能障碍的患病率。
对60例接受CAPD治疗的糖尿病合并CRF患者进行研究。平均年龄为54.5±12岁（27 - 78岁）。通过经胸超声心动图测量作为舒张功能参数的左心室充盈模式（LVFP）和作为收缩功能参数的左心室射血分数（LVEF）。采用描述性统计分析。
27例（45%）为女性，33例（55%）为男性。55例（91.7%）观察到左心室向心性肥厚。52例患者（86.7%）表现为I型LVFP；3例（5%）为II型；2例（3.3%）表现为假正常模式，3例（5%）LVFP正常。LVEF为0.63±0.09（CI = 0.41 - 0.82）。49例（81.7%）患者的LVEF等于或大于0.55。
舒张期左心室功能障碍的患病率为95%，收缩期左心室功能障碍的患病率为18.3%。
