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العنوان
Speckle Tracking Echocardiography In Evaluation The Effect Of Haemodialysis Induced Preload Changes On The Left Ventricular Function In Patients With Chronic Renal Failure /
المؤلف
Abd El-Wahed, Wagdy Abd El-Ghaffar.
هيئة الاعداد
باحث / وجدى عبد الغفار عبد الواحد
مشرف / سعيد شلبى ابراهيم
مشرف / أحمد عبد العزيز عمارة
مشرف / محمود عبد العزيز قورة
الموضوع
Chronic renal failure.
تاريخ النشر
2014.
عدد الصفحات
92 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب
الناشر
تاريخ الإجازة
10/7/2014
مكان الإجازة
جامعة المنوفية - كلية الطب - القلب والأوعية الدموية
الفهرس
Only 14 pages are availabe for public view

from 131

from 131

Abstract

In dialysis patients, both cardiovascular and noncardiovascular
mortality are significantly increased as compared to
general population. In particular cardio-vascular mortality contributes to
40% of all-cause mortality in patients on haemodialysis. We assessed the
(LV) function in 26 patients with ESRD on MHD before and after the HD
set.
Methods: Twenty-six subjects were enrolled in this study on
maintenance HD 3 times per week for 3 hours; 13 with hypertension;6
with diabetes mellitus; 8 with ECG criteria of left ventricular hypertrophy
(LVH). All subjects underwent standard two-dimensional
echocardiography and myocardial strain imaging.
Results: There is a significant reduction of stroke volume, left
ventricular internal diameter in diastole, left ventricular internal diameter
in systole; left ventricular posterior wall thickness in systole, end diastolic
volume, end systolic volume, E wave and E/A ratio and finally
pulmonary artery systolic pressure after HD set [P<0.05]. On the other
hand there are no significant changes in neither interventricular seputm in
both diastole and systole, left ventricular posterior wall thickness in
diastole, fractional shortening, A wave, ejection fraction or left atrial
dimension[P >0.05].Also a significant reduction of GLPS_LAX, global
longitudinal peak systolic strain in long axis view; GLPS_A4C, global
longitudinal peak systolic strain in apical 4 chamber view; GLPS_A2C
global longitudinal peak systolic strain in apical 2 chamber view and
GLPS_AVG, global longitudinal peak systolic strain average after HD set
[P<0.05].