Severity of Mitral Regurgitation before and after Kidney Transplantation.
作者信息
Pourmand G, Karbalai Saleh S, Mehrsai A, Gooran S, Khajavi M R, Razeghi E, Rahbar M, Pourhossein M, Dehghani S
机构信息
Urology Research Center,Tehran University of Medical Science,Tehran,Iran.
Department of Cardiology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Int J Organ Transplant Med. 2019;10(4):167-169.
BACKGROUND
Perivalvular and valve involvement are prevalent in patients with end-stage renal disease (ESRD), especially in younger patients compared with normal population. Kidney transplantation improves the prognosis of these patients. Patients with cardiac valvular disease is also be improved following kidney transplantation.
OBJECTIVE
To evaluate the impact of renal transplantation on the severity of mitral regurgitation (MR).
METHODS
We studied 95 kidney transplantation candidates in Sina Hospital. The patients underwent echocardiography preoperatively and at the 3, 6, and 12 months post-operatively.
RESULTS
Pre-operatively, the average MR fraction was 30%; MR volume 30 mL/beat; mitral valve mean gradient 1.8 mm Hg; mitral valve area 4.6 cm; and mitral annular size 3 cm. No significant difference was observed among the measurements made at the 3, 6, and 12 months post-operatively.
CONCLUSION
There was no significant association between the variables measured pre- and post-operatively. The reason might be the fact that patients with ESRD in Iran do not have to expect long transplant waiting lists and dialysis cannot affect their heart adversely.
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