A case of insulin dependent diabetes mellitus with marked improvement of cardiac function after live donor renal transplantation.
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A 28-year-old male with insulin-dependent diabetes mellituns was admitted for live donor renal transplantation. His cardiac function was already impaired before commencing hemodialysis, and it markedly deteriorated with left ventricular dilatation and a reduced ejection fraction of 21% during the course of hemodialysis. The decreased cardiac function was attributed to noncompliance with the strict diet therapy of dialysis. By intensive water restriction and hemodialysis for the three months after admission, the cardiac function was improved with an ejection fraction of 45% and renal transplantation was performed. After renal tranplantation, overhydration and hypertension disappeared, resulting in the normalization of left ventricular size and decreased cardiac contractility. Thus, renal transplantation resulted in cardiac improvement in a diabetic with severely impaired cardiac function.
- 一般社団法人 日本糖尿病学会の論文
一般社団法人 日本糖尿病学会 | 論文
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