Omrani Hamidreza, Rai Alireza, Daraei Zahra, Sadeghi Masoud
Nephrology and Urology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Cardiology, Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Med Arch. 2017 Dec;71(6):408-411. doi: 10.5455/medarh.2017.71.408-411.
Cardiovascular complications are the leading cause of mortality in end-stage renal disease (ESRD) patients. This study aimed to evaluate the efficacy of kidney transplantation on the cardiovascular status in ESRD patients.
During 2012 to 2014 and in a cross-sectional study, 181 patients were randomly selected for this study. All patients were followed for periods of 6 and 12 months after kidney transplantation. The patients with ESRD and kidney transplant recipients; the patients with left ventricle ejection fraction<50%, left ventricular hypertrophy, mitral valve regurgitation and tricuspid valve regurgitation were included to study and the patients with kidney transplant rejection, myocardial infarction, high blood pressure with treatment-resistant, high blood pressure and addicted patients were censored.
one hundred and eighty-one patients had the mean age of 38.52 (range, 16-69 years) that 54.7% were men and the mean duration of dialysis was 3.74 years. There were significant differences after 6 and 12 months compared with before and also 6 months compared with 12 months from kidney transplantation for all echocardiographic findings. The echocardiographic findings improved after 12 months compared with 6 months and also these times compared with before kidney transplantation.
The results of this study appeared that kidney transplantation had a positive effect on the cardiovascular status of patients with ESRD and improved the cardiac function of these patients.
心血管并发症是终末期肾病(ESRD)患者死亡的主要原因。本研究旨在评估肾移植对ESRD患者心血管状况的疗效。
在2012年至2014年期间进行的一项横断面研究中,随机选取181例患者进行本研究。所有患者在肾移植后随访6个月和12个月。纳入ESRD患者和肾移植受者;左心室射血分数<50%、左心室肥厚、二尖瓣反流和三尖瓣反流的患者进行研究,肾移植排斥反应、心肌梗死、难治性高血压、高血压和成瘾患者被排除。
181例患者的平均年龄为38.52岁(范围16 - 69岁),其中54.7%为男性,平均透析时间为3.74年。所有超声心动图检查结果在肾移植后6个月和12个月与移植前相比有显著差异,且6个月与12个月相比也有显著差异。与6个月相比,12个月后超声心动图检查结果有所改善,与肾移植前相比这些时间点也有所改善。
本研究结果表明,肾移植对ESRD患者的心血管状况有积极影响,并改善了这些患者的心脏功能。