Table 1.
Markers of Cardiac Structure and Function in ESKD
| Measure | Definition | Indicator | Related Studies |
|---|---|---|---|
| Left ventricular mass | Estimated mass of left ventricle | Left ventricular hypertrophy | 10, 29, 30 |
| Left ventricular mass index | Estimated mass of left ventricle divided by body surface area | Left ventricular hypertrophy | 10, 29, 30, 44, 45, 46, 52, 55, 59 |
| Left ventricular ejection fraction | The end-diastolic volume of left ventricle minus end-systolic volume, divided by end-diastolic volume | Left ventricular systolic chamber function | 30, 35 |
| Left ventricular end-systolic volume | Volume of blood in left ventricle at end of systolic ejection | Left ventricular systolic function | 30 |
| Left ventricular end-diastolic volume | Volume of blood in left ventricle at end of diastole | Left ventricular structure | 47 |
| E/e’ ratio | The ratio of peak velocity of early diastolic filling (E) to early diastolic lengthening of left ventricle (e’) | Left ventricular diastolic dysfunction | 33, 35 |
| Systolic strain | Percent shortening or lengthening of myocardium in systole in a given plane | Systolic myocardial function | |
| Global longitudinal strain | Strain in planes parallel to long axis of ventricle (negative systolic value due to systolic shortening) | Left ventricular systolic myocardial function | 33, 34, 35, 38, 50, 58 |
| Global radial strain | Transmural myocardial thickening, orthogonal to longitudinal stain and perpendicular to endocardium (a positive value) | Left ventricular systolic Myocardial function | 34 |
| Circumferential strain | Strain along circumference of short-axis planes perpendicular to length of the ventricle | Left ventricular systolic myocardial function | 49, 50 |
| Mechanical dyssynchrony | A prolonged delay between beginning and end of the onset of systolic strain or wall thickening in myocardium of a cardiac chamber | Systolic dysfunction that can be improved by resynchronization of contraction | 34, 38, 39 |
Abbreviations: E/e′, the ratio of the peak velocity of early diastolic filling (E) to the early diastolic lengthening of the left ventricle (e′); ESKD, end-stage kidney disease.
Definitions adapted from Feigenbaum’s Echocardiography 7th edition.69