Change of Cardiac Structure and Function before and after Peritoneal Dialysis in Patients with Uremia_West China Medical Journal

Authors：

 ZhangLiemei , CaiPanpan ,  TangXiaohong

Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

TangXiaohong, Email: xhtng@126.com

Keywords：

Uremia; Peritoneal dialysis; Cardiac structure; Ejection fraction

DOI：

10.7507/1002-0179.201600178

Video：

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Objective To investigate the change of cardiac structure and function in patients with uremia before and after peritoneal dialysis (PD). Methods Eighty three standard continuous ambulatory peritoneal dialysis (CAPD) patients treated between October 2009 and October 2014 were selected in this study. According to the ultrasound cardiogram before and 6 months after the PD, we analyzed the influence of age, diabetes mellitus, dialysis interval, hemoglobin, serum albumin, serum creatinine, serum calcium and phosphate and parathyroid hormone (PTH) on the cardiac structure and function. Results Hemoglobin increased significantly after PD (P <0.01), while albumin and PTH decreased significantly (P <0.01). The changes in creatinine, triglyceride and cholesterol were not statistically significant (P > 0.05). For CAPD patients, cardiac systolic function did no t obviously change before and after dialysis, while the diastolic function improved obviously after dialysis. Conclusion PD may improve cardiac diastolic function of CAPD patients.

Citation： ZhangLiemei, CaiPanpan, TangXiaohong. Change of Cardiac Structure and Function before and after Peritoneal Dialysis in Patients with Uremia. West China Medical Journal, 2016, 31(4): 647-649. doi: 10.7507/1002-0179.201600178 Copy

1.	?Al-Dadah A, Omran J, Nusair MB, et al. Cardiovascular mortality in dialysis patients[J]. Adv Perit Dial, 2012, 28(28): 56-59.
2.	Teitelbaum I. Peritoneal dialysis is appropriate for elderly patients[J]. Contrib Nephrol, 2006, 150(150): 240-246.
3.	Yang X, Fang W, Kothari J, et al. Clinical outcomes of elderly patients undergoing chronic peritoneal dialysis: experiences from one center and a review of the literature[J]. Int Urol Nephrol, 2007, 39(4): 1295-1302.
4.	Kwan BC, Szeto CC.Is peritoneal dialysis kinder for the heart? Perit Dial Int, 2011, 31(2): 135-137.
5.	Renal Data System USRDS 2004 annual data report atlas of end-stage renal disease in the United States Bethesda. MdNational institutes of health[Z], 2004.
6.	侯凡凡. 慢性腎臟病的心血管并發癥[J]. 中華心血管雜志, 2004, 32(Suppl): 16.
7.	Foley RN, Sarnak MJ. Epidemiology of cardiovascular disease in chronic renal disease[J]. J Am Soc Nephrol, 1998, 9(12 Suppl): S16-S23.
8.	Miller LM, Sood MM, Sood AR, et al. Cardiovascular disease in end-stage renal disease: the challenge of assessing and managing cardiac disease in dialysis patients[J]. Int Urol Nephrol, 2010, 42(4): 1007-1014.
9.	肖壽海. 持續性不臥床腹膜透析患者并發低蛋白血癥臨床分析[J]. 河北醫學, 2011, 17(2): 211-213.
10.	Wang AY, Woo J, Wang M, et al. Association of inflammation and malnutrition with cardiac valve calcification in continuous ambulatory peritoneal dialysis patients[J]. J Am Soc Nephrol, 2001, 12(9): 1927-1936.
11.	Civilibal M, Caliskan S, Adaletli I, et al. Coronary artery calcifications in children with end-stage renal disease[J]. Pediatr Nephrol, 2006, 21(10): 1426-1433.
12.	Amann K, Gross ML, London GM, et al. Hyperphosphataemia: silent killer of patients with renal failure?[J]. Nephrol Dial Transplant, 1999, 14(9): 2085-2087.
13.	Stenvinkel P, Heimbürger O, Lindholm B, et al. Are there two types of malnutrition in chronic renal failure? Evidence for relationships between malnutrition, inflammation and atherosclerosis (MIA syndrome)[J]. Nephrol Dial Transplant, 2000, 15(7): 953-960.
14.	梁劍波, 溫德良, 江麗屏, 等. 腹膜透析患者心血管病死亡與鈣磷代謝關系的回顧性分析[J]. 中國實用內科雜志, 2008, 28(增刊1): 103-104.
15.	侯凡凡, 馬志剛, 梅長林, 等. 我國五省市、自治區慢性腎臟病患者心血管疾病的危險因素調查[J]. 中華醫學雜志, 2005, 85(11): 753-759.

1. ?Al-Dadah A, Omran J, Nusair MB, et al. Cardiovascular mortality in dialysis patients[J]. Adv Perit Dial, 2012, 28(28): 56-59.
2. Teitelbaum I. Peritoneal dialysis is appropriate for elderly patients[J]. Contrib Nephrol, 2006, 150(150): 240-246.
3. Yang X, Fang W, Kothari J, et al. Clinical outcomes of elderly patients undergoing chronic peritoneal dialysis: experiences from one center and a review of the literature[J]. Int Urol Nephrol, 2007, 39(4): 1295-1302.
4. Kwan BC, Szeto CC.Is peritoneal dialysis kinder for the heart? Perit Dial Int, 2011, 31(2): 135-137.
5. Renal Data System USRDS 2004 annual data report atlas of end-stage renal disease in the United States Bethesda. MdNational institutes of health[Z], 2004.
6. 侯凡凡. 慢性腎臟病的心血管并發癥[J]. 中華心血管雜志, 2004, 32(Suppl): 16.
7. Foley RN, Sarnak MJ. Epidemiology of cardiovascular disease in chronic renal disease[J]. J Am Soc Nephrol, 1998, 9(12 Suppl): S16-S23.
8. Miller LM, Sood MM, Sood AR, et al. Cardiovascular disease in end-stage renal disease: the challenge of assessing and managing cardiac disease in dialysis patients[J]. Int Urol Nephrol, 2010, 42(4): 1007-1014.
9. 肖壽海. 持續性不臥床腹膜透析患者并發低蛋白血癥臨床分析[J]. 河北醫學, 2011, 17(2): 211-213.
10. Wang AY, Woo J, Wang M, et al. Association of inflammation and malnutrition with cardiac valve calcification in continuous ambulatory peritoneal dialysis patients[J]. J Am Soc Nephrol, 2001, 12(9): 1927-1936.
11. Civilibal M, Caliskan S, Adaletli I, et al. Coronary artery calcifications in children with end-stage renal disease[J]. Pediatr Nephrol, 2006, 21(10): 1426-1433.
12. Amann K, Gross ML, London GM, et al. Hyperphosphataemia: silent killer of patients with renal failure?[J]. Nephrol Dial Transplant, 1999, 14(9): 2085-2087.
13. Stenvinkel P, Heimbürger O, Lindholm B, et al. Are there two types of malnutrition in chronic renal failure? Evidence for relationships between malnutrition, inflammation and atherosclerosis (MIA syndrome)[J]. Nephrol Dial Transplant, 2000, 15(7): 953-960.
14. 梁劍波, 溫德良, 江麗屏, 等. 腹膜透析患者心血管病死亡與鈣磷代謝關系的回顧性分析[J]. 中國實用內科雜志, 2008, 28(增刊1): 103-104.
15. 侯凡凡, 馬志剛, 梅長林, 等. 我國五省市、自治區慢性腎臟病患者心血管疾病的危險因素調查[J]. 中華醫學雜志, 2005, 85(11): 753-759.

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