دورية أكاديمية
Assessment of Volumetric Hemodynamic Parameters and Body Composition in Stable Renal Transplant Recipients.
| العنوان: | Assessment of Volumetric Hemodynamic Parameters and Body Composition in Stable Renal Transplant Recipients. |
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| المؤلفون: | Czyżewski Ł; Department of Nephrology Nursing, Medical University of Warsaw, Warsaw, Poland., Wyzgał J; Department of Nephrology Nursing, Medical University of Warsaw, Warsaw, Poland., Czyżewska E; Department of Laboratory Diagnostics, Medical University of Warsaw, Warsaw, Poland., Sańko-Resmer J; Department of Nephrology Nursing, Medical University of Warsaw, Warsaw, Poland., Szarpak Ł; Department of Emergency Medicine, Medical University of Warsaw, Warsaw, Poland. |
| المصدر: | Annals of transplantation [Ann Transplant] 2017 Apr 04; Vol. 22, pp. 187-198. Date of Electronic Publication: 2017 Apr 04. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: International Scientific Literature, Inc Country of Publication: United States NLM ID: 9802544 Publication Model: Electronic Cited Medium: Internet ISSN: 2329-0358 (Electronic) Linking ISSN: 14259524 NLM ISO Abbreviation: Ann Transplant Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2013- > : Smithtown, New York: International Scientific Literature, Inc. Original Publication: Warsaw : Polish Transplantology Foundation : Transplantation Institute, Warsaw Medical School, 1996- |
| مواضيع طبية MeSH: | Kidney Transplantation* , Transplant Recipients*, Body Composition/*physiology , Hemodynamics/*physiology , Kidney/*physiopathology , Kidney Failure, Chronic/*surgery, Adult ; Aged ; Blood Pressure/physiology ; Cross-Sectional Studies ; Female ; Humans ; Kidney Failure, Chronic/physiopathology ; Male ; Middle Aged |
| مستخلص: | BACKGROUND Cardiovascular disease (CVD) has been associated with decreased graft survival and increased complications in renal transplant recipients (RTRs). The objectives of this study were to explore the relationship between body composition and hemodynamic parameters (cardiac index [CI] and systemic vascular resistance index [SVRI]) in RTRs. MATERIAL AND METHODS The study included 80 RTRs (mean age: 51±8 yrs) who had been admitted to our Nephrology and Transplantology Clinic at 0.5 to 28 years after KTx. The control groups consisted of the 40 patients receiving hemodialysis and 20 health-care professionals. A Cardioscreen 1000 monitor (Messtechnik, Ilmenau, Germany) was used to perform non-invasive hemodynamic measurements. Body composition was studied using a Tanita BC 418 body composition analyzer (Tanita Corp., Tokyo, Japan). Clinical and laboratory data were also analyzed. RESULTS One-way ANOVA confirmed statistically significant differences between RTRs, HD patients, and the control group in CI (2.8±0.3 vs. 3.1±0.7 vs. 3.5±0.6 L/min/m2, P<0.001, respectively) and SVRI (2619±492 vs. 2307±701 vs. 2012±452 d·s/cm-5/m², P<0.001, respectively). In RTRs with functioning AVF, our study revealed significantly higher CI (2.9±0.3 vs. 2.7±0.4 L/min/m², P=0.004) and significantly lower SVRI (2497±286 vs. 2729±605 d·s/cm-5/m², P=0.035). CONCLUSIONS In conclusion, our data indicate that cardiovascular manifestations in the RTRs group are mainly related to decreased CI and HR in addition to increased SVRI with high arterial blood pressure. |
| تواريخ الأحداث: | Date Created: 20170405 Date Completed: 20170926 Latest Revision: 20190609 |
| رمز التحديث: | 20231215 |
| DOI: | 10.12659/aot.901515 |
| PMID: | 28373639 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2329-0358 |
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| DOI: | 10.12659/aot.901515 |