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[血液透析慢性肾衰竭患者的舒张功能障碍]

[Diastolic dysfunction in chronic renal failure patients under hemodialysis].

作者信息

Douchet M P, Couppie P, Chantrel F, Kuntz C, Hannedouche T

机构信息

Service de Cardiologie, Clinique Médicale B, Hôpitaux Universitaires de Strasbourg.

出版信息

Ann Cardiol Angeiol (Paris). 1996 Dec;45(10):589-92.

PMID:9033698
Abstract

Myocardial hypertrophy due to volume and pressure overload is common in hemodialysis patients because renal failure is usually responsible for arterial hypertension. The left ventricular filling pattern often exhibits abnormalities denoting a relaxation disorder. These abnormalities increase after hemodialysis sessions, which are sometimes followed by severe hypotension. This sequence of left ventricular hypertrophy, altered relaxation, and severe postdialysis hypotension sometimes associated with severe ventricular rhythm disorders deserves to be studied in detail. The data gathered would help to determine the prognosis in this situation, which often depends on cardiac function.

摘要

由于容量和压力超负荷导致的心肌肥厚在血液透析患者中很常见,因为肾衰竭通常是动脉高血压的病因。左心室充盈模式常表现出异常,提示舒张功能障碍。这些异常在血液透析治疗后会加重,有时还会继发严重低血压。左心室肥厚、舒张功能改变以及严重的透析后低血压(有时伴有严重的室性心律失常)这一系列情况值得详细研究。收集到的数据将有助于确定这种常取决于心脏功能的情况的预后。

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