Predictors of Congestive Heart Failure in Patients on Maintenance Hemodialysis
スポンサーリンク
概要
- 論文の詳細を見る
Background Cardiovascular disease is a major cause of death in patients on maintenance hemodialysis (HD). Predictors of congestive heart failure (CHF) events in patients on HD were investigated, focusing on left ventricular (LV) function. Methods and Results One hundred consecutive patients on HD were followed for at least 5 years after index examination performed 1 day after the last HD session. Tests included M-mode and Doppler echocardiography and plasma brain natriuretic peptide (BNP) and hemoglobin (Hb) concentration measurements. Patients with atrial fibrillation or poor echocardiographic images were excluded. Confounding factors included diabetes mellitus (DM), hypertension, age, HD duration, LV fractional shortening, E/A of transmitral flow velocity pattern, Tei index, LV mass index (LVMI), BNP level, Hb, and use of antihypertensive or antiarrhythmic drugs. Six CHF events occurred during 1,703±565 days. DM and Hb <10g/dl were identified as independent predictors of CHF events in a stepwise Cox regression model after DM, LVMI, BNP, and Hb <10g/dl were selected in the univariate analysis. The hazard ratio (confidence interval) was 10.96 (1.49-80.44) for DM, and 23.00 (2.41-219.76) for Hb <10g/dl. The estimated hazard across time was constant (T_COV*DM; p=0.726, T_COV*Hb <10g/dl; p=0.681) by time-dependent covariates analysis. Conclusion In patients on maintenance HD, DM and anemia (Hb <10g/dl), but not echo-derived cardiac function, predicted CHF events.
- 2007-08-20
著者
-
Ito Shigenori
Division of Cardiology, Nagoya City Moriyama Municipal Hospital
-
Murai Sumiko
Hemodialysis Center, Jinseikai Nishio Clinic
-
Sugiura Masato
Division of Cardiology, Nagoya City Moriyama Municipal Hospital
-
Yoshida Takayuki
Division of Cardiology, Nagoya City Moriyama Municipal Hospital
-
Fukutomi Tatsuya
Department of Cardiology, Nagoya City University Graduate School of Medical Sciences
-
Ito Shigenori
Division Of Cardiology Nagoya City Moriyama Municipal Hospital
-
Fukutomi Tatsuya
Department Of Cardiology Nagoya City University Graduate School Of Medical Sciences
-
Murai Sumiko
Hemodialysis Center Jinseikai Nishio Clinic
-
Sugiura Masato
Division Of Cardiology Nagoya City Moriyama Municipal Hospital
-
Fukutomi Tatsuya
Department Of Cardiology Nagoya City University
-
Yoshida Takayuki
Division Of Cardiology Nagoya City Moriyama Municipal Hospital
関連論文
- Predictors of Congestive Heart Failure in Patients on Maintenance Hemodialysis
- The Influence of Diabetes Mellitus on Plaque Volume and Vessel Size in Patients Undergoing Percutaneous Coronary Intervention : An Intravascular Ultrasound Study
- Novel Technique Using Intravascular Ultrasound-Guided Guidewire Cross in Coronary Intervention for Uncrossable Chronic Total Occlusions
- Influence of Diabetes Mellitus and Its Treatment on Intimal Thickness of Angiographically Normal Coronary Artery Segment : An Intravascular Ultrasound Study
- Impact of Intravascular Ultrasound Guidance on Target Lesion Revascularization in Percutaneous Coronary Intervention
- Beneficial Application of Quantitative Coronary Angiography (Edge Detection Algorithm) in Analysis of Dissected Coronary Arteries to Predict Long-Term Patency
- OE-346 Initial experience of intravascular optical coherence tomography during angioplasty(Coronary Revascularization, PTCA/Stent/DCA/Rotablator/New Device 13 (IHD) : OE44)(Oral Presentation (English))
- Accumulation of trehalose in response to desiccation and salt stress in the terrestrial cyanobacterium Nostoc commune
- A Sudden-Death Case with Silent Abnormal Q waves : A Dilemma in Health Checkups
- Adriamycin Causes Dual Inotropic Effects Through Complex Modulation of Myocardial Ca^ Handling
- Correlation of genetic etiology with response to β-adrenergic blockade among symptomatic patients with familial long-QT syndrome
- OJ-128 Coronary Artery Calcification Detected by Electron bean Computed Tomography in Old-aged Subjects(CT / DSA-04, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- OE-350 Drug Eluting Stent Suppressed the Elevation of Plasma Levels of MCP-1 and IL-8 in the Early Period after PCI(Restenosis basic/clinical-1, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-534 Association between Intimal Medial Thickness of the Carotid Arteries and Coronary Artery Calcification(CT/DSA-7 (I) PJ90,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- PE-501 Serial Changes of Edema Detected by T2-Weighted Cardiovascular Magnetic Resonance Imaging in Acute Myocardial Infarction(MRI/MRA-2 (I) PE84,Poster Session (English),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- PE-304 The Potential of Statin for the Suppression of Plasma Levels of MCP-1 and IL-8 Leads to Reduction of Restenosis(Restenosis, basic/clinical-3 (IHD) PE51,Poster Session (English),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulat
- Evaluation of Neointimal Proliferation after Extremely Low-Pressure Stent Implantation(Coronary Revascularization, PTCA/Stent/DCA/Rotablator/New Device 11 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Reliability of Plasma Brain Natriuretic Peptide Concentration as a Surrogate Endpoint : Is it Stable in Stable Patients?(Heart Failure, Clinical 11 (M), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Impact of MCP-1 as an Early Potential Predictive Marker for Restenosis after Percutaneous Coronary Intervention(Restenosis after Angioplasty, Basic/Clinical 2 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- PE-175 Patents with a Positive Ergonovine Spasm Provocation Test Have More Coronary Artery Calcium Than Those with a Negative One(X-ray/CT/MRI/DSA6 (I) : PE30)(Poster Session (English))
- Effects of Carvedilol on Plasma Brain Natriuretic Peptide Concentration in Patients with Isolated Diastolic Heart Failure
- Relationship between Iodine-123 Metaiodobenzylguanidine Myocardial Imaging and Plasma Brain Natriuretic Peptide Concentration in Patients with Isolated Diastolic Heart Failure
- Verapamil enhances apolipoprotein A-I (apoA-I) mediated cellular lipid release and ATP binding-cassette transporter (ABC) A1 expression in RAW264 cell-line cells
- Early and Late Clinical Outcomes Following Coronary Perforation in Patients Under-going Percutaneous Coronary Intervention
- ROLE OF TREHALOSE IN STRESS RESPONSE OF THE TERRESTRIAL CYANOBACTERIUM NOSTOC COMMUNE
- Relationship Between Doppler Transmitral Flow Velocity Pattern and Plasma Atrial and Brain Natriuretic Peptide Concentrations in Anuric Patients on Maintenance Hemodialysis
- Acute Effect of Sodium Nitroprusside on Microvascular Dysfunction in Patients Who Underwent Percutaneous Coronary Intervention for Acute ST-segment Elevation Myocardial Infarction
- Bepridil Might Be Useful to Restore Sinus Rhythm after Pulmonary Vein Isolation in Mildly Remodeled Persistent Atrial Fibrillation
- Persistent Electrical Scar in the Atrium Evaluated on Voltage Mapping With a CARTO System in Suspected Acute Myocarditis
- Neointima in Coronary Stent Does not Increase during over 1-Year in Non-restenosed Lesion at 6 Months Follow-up.:Serial Volumetric Intravascular Ultrasound Study
- Secondary Hemophagocytic Syndrome in a Patient with Methicillinsensitive Staphylococcus Aureus Bacteremia due to Severe Decubitus Ulcer