Abstract
Thirteen patients with chronic renal failure and uraemia were investigated by echocardiography preoperatively before and after haemodialysis and again after a successful renal transplantation to evaluate the cardiac changes caused by renal transplantation. After renal transplantation, the left ventricular end-diastolic and end-systolic diameters, as well as the cardiac index, decreased, probably because of the decreased left ventricular filling pressure. The left ventricular wall thickness and mass decreased, apparently as a result of the decrease of the left ventricular preload and also of the decrease of the afterload, because the systolic blood pressure decreased. The left atrial diameter decreased in response to the decreased left ventricular preload and wall hypertrophy. The changes in the indices of left ventricular function as a result of haemodialysis appeared to predict the changes seen after renal transplantation. Renal transplantation appears to have a tendency to result in normal left ventricular and left atrial volumes, as well as to lessen left ventricular hypertrophy, without significantly improving left ventricular function.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bergrem H., Flatmark A., Simonsen S. Dialysis fistulas and cardiac failure. Acta Med Scand. 1978;204(3):191–193. doi: 10.1111/j.0954-6820.1978.tb08423.x. [DOI] [PubMed] [Google Scholar]
- Cooper R. H., O'Rourke R. A., Karliner J. S., Peterson K. L., Leopold G. R. Comparison of ultrasound and cineangiographic measurements of the mean rate of circumferential fiber shortening in man. Circulation. 1972 Nov;46(5):914–923. doi: 10.1161/01.cir.46.5.914. [DOI] [PubMed] [Google Scholar]
- Drüeke T., Le Pailleur C., Meilhac B., Koutoudis C., Zingraff J., Di Matteo J., Crosnier J. Congestive cardiomyopathy in uraemic patients on long term haemodialysis. Br Med J. 1977 Feb 5;1(6057):350–353. doi: 10.1136/bmj.1.6057.350. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Firestein G., Hensley C., Varghese P. J. Left ventricular function in presence of small pericardial effusion. Echocardiography study. Br Heart J. 1980 Apr;43(4):382–387. doi: 10.1136/hrt.43.4.382. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hung J., Harris P. J., Uren R. F., Tiller D. J., Kelly D. T. Uremic cardiomyopathy--effect of hemodialysis on left ventricular function in end-stage renal failure. N Engl J Med. 1980 Mar 6;302(10):547–551. doi: 10.1056/NEJM198003063021003. [DOI] [PubMed] [Google Scholar]
- Ianhez L. E., Lowen J., Sarbaga E. Uremic myocardiopathy. Nephron. 1975;15(1):17–28. doi: 10.1159/000180489. [DOI] [PubMed] [Google Scholar]
- Ikäheimo M. J., Palatsi I. J., Takkunen J. T. Noninvasive evaluation of the athletic heart: sprinters versus endurance runners. Am J Cardiol. 1979 Jul;44(1):24–30. doi: 10.1016/0002-9149(79)90246-7. [DOI] [PubMed] [Google Scholar]
- Ikäheimo M., Huttunen K., Takkunen J. Cardiac effects of chronic renal failure and haemodialysis treatment. Hypertensive versus normotensive patients. Br Heart J. 1981 Jun;45(6):710–716. doi: 10.1136/hrt.45.6.710. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ikäheimo M., Takkunen J. Echocardiography in assessment of mitral valve disease II. Left atrium and left ventricle. Ann Clin Res. 1977 Dec;9(6):321–329. [PubMed] [Google Scholar]
- Mitchell A. G. Pericarditis during chronic haemodialysis therapy. Postgrad Med J. 1974 Dec;50(590):741–745. doi: 10.1136/pgmj.50.590.741. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Penpargkul S., Kuziak J., Scheuer J. Effect of uremia upon carbohydrate metabolism in isolated perfused rat heart. J Mol Cell Cardiol. 1975 Jul;7(7):499–511. doi: 10.1016/0022-2828(75)90166-2. [DOI] [PubMed] [Google Scholar]
- Riley S. M., Jr, Blackstone E. H., Sterling W. A., Diethelm A. G. Echocardiographic assessment of cardiac performance in patients with arteriovenous fistulas. Surg Gynecol Obstet. 1978 Feb;146(2):203–208. [PubMed] [Google Scholar]
- Saha S. P., Roman J., Zaidi S. A. Hemodynamic effects of arteriovenous fistula and bovine graft fistula used for hemodialysis. Am Surg. 1978 Nov;44(11):742–743. [PubMed] [Google Scholar]
- Scharf S., Wexler J., Longnecker R. E., Blaufox M. D. Cardiovascular disease in patients on chronic hemodialytic therapy. Prog Cardiovasc Dis. 1980 Mar-Apr;22(5):343–356. doi: 10.1016/0033-0620(80)90027-4. [DOI] [PubMed] [Google Scholar]
- Silverberg S., Oreopoulos D. G., Wise D. J., Uden D. E., Meidok H., Jones M., Rapoport A., deVeber G. Pericarditis in patients undergoing long-term hemodialysis and peritoneal dialysis. Incidence, complications and management. Am J Med. 1977 Dec;63(6):874–879. doi: 10.1016/0002-9343(77)90540-x. [DOI] [PubMed] [Google Scholar]
- Troy B. L., Pombo J., Rackley C. E. Measurement of left ventricular wall thickness and mass by echocardiography. Circulation. 1972 Mar;45(3):602–611. doi: 10.1161/01.cir.45.3.602. [DOI] [PubMed] [Google Scholar]
- von Bibra H., Castro L., Autenrieth G., McLeod A., Gurland H. J. The effects of arteriovenous shunts on cardiac function in renal dialysis patients--an echocardiographic evaluation. Clin Nephrol. 1978 May;9(5):205–209. [PubMed] [Google Scholar]