التفاصيل البيبلوغرافية
| العنوان: |
Comparison of Cardiac Outcome of Continuous Ambulatory Peritoneal Dialysis & Hemodialysis in CKD5 Patients with Heart Failure. |
| المؤلفون: |
Barman TK; Dr Tridip Kanti Barman, Assistant Professor, Department of Medicine, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail: drtridipkanti@gmail.com., Roy S, Hossain SM, Salahuddin AZ, Huq MO |
| المصدر: |
Mymensingh medical journal : MMJ [Mymensingh Med J] 2020 Oct; Vol. 29 (4), pp. 793-799. |
| نوع المنشور: |
Journal Article; Observational Study |
| اللغة: |
English |
| بيانات الدورية: |
Publisher: Mymensingh Medical College Country of Publication: Bangladesh NLM ID: 9601799 Publication Model: Print Cited Medium: Internet ISSN: 2408-8757 (Electronic) Linking ISSN: 10224742 NLM ISO Abbreviation: Mymensingh Med J Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: Mymensingh, Bangladesh : Mymensingh Medical College, |
| مواضيع طبية MeSH: |
Heart Failure*/epidemiology , Heart Failure*/therapy , Kidney Failure, Chronic*/complications , Kidney Failure, Chronic*/therapy , Peritoneal Dialysis, Continuous Ambulatory* , Renal Insufficiency, Chronic*, Female ; Humans ; Male ; Middle Aged ; Renal Dialysis ; Stroke Volume ; Ventricular Function, Left |
| مستخلص: |
Prevalence of heart failure (HF) among end stage renal disease (ESRD) patients is high and HF remains the main cardiovascular co-morbidity at dialysis initiation. There is paucity of data comparing change of NYHA class, improvement of ejection fraction (EF) and major cardiac events in ESRD patients with concomitant heart failure on haemodialysis to those on peritoneal dialysis. The objective of the study was to compare the cardiac outcome of continuous ambulatory peritoneal dialysis (CAPD) & hemodialysis (HD) in chronic kidney disease 5 (CKD5) patients with HF. This prospective observational study was carried out from March 2018 to February 2019 in seventy CKD 5 patients with HF who opted for CAPD or HD. Seven patients dropped out during the follow-up & sixty three patients (CAPD=31; HD=32) were followed up for symptomatic assessment of cardiac status in terms of NYHA class as well as echocardiography and serum haemoglobin at baseline and at 3rd & 6th month. Major cardiovascular events like non fatal MI, non fatal stroke & death duo to cardiovascular diseases and co-morbidities were recorded during the study period. Statistical analysis was done using SPSS 22.0. Mean age was 53.33±6.38 and 54.23±10.15 years & male to female ratio was 1.81:1 and 1.46:1 in CAPD and HD groups respectively. Both NYHA class & left ventricular ejection fraction (EF) were significantly increased after six months compared to baseline in each group and significantly more increased in the CAPD group than the HD group. Left ventricular internal diameter in diastole (LVIDd) was reduced significantly after six months compared to baseline in both groups and there was no significant difference in LVIDd reduction between the CAPD and HD groups. Major cardiovascular events were found to occur more frequently in the HD group. According to NYHA functional class, echocardiographic findings and major cardiovascular events during six months, improvement of cardiac function in CKD 5 patients with HF was better on CAPD in comparison to HD. |
| تواريخ الأحداث: |
Date Created: 20201029 Date Completed: 20201030 Latest Revision: 20201030 |
| رمز التحديث: |
20221213 |
| PMID: |
33116079 |
| قاعدة البيانات: |
MEDLINE |
