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Pulmonary Hypertension in Dialysis Patients : A Cross-Sectional Italian Study
Joint Authors
Cantelli, Stefano
Fabbian, Fabio
Portaluppi, Francesco
Pala, Marco
Longhini, Carlo
Molino, Christian
Source
International Journal of Nephrology
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-09-30
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Pulmonary hypertension (PHT) is an independent predictor of mortality.
The aim of this study was to relate pulmonary arterial pressure (PAP) to the cardiovascular status of dialysis patients.
Methods.
27 peritoneal dialysis (PD) and 29 haemodialysis (HD) patients (60±13 years, 37 males, dialysis vintage was 40±48 months) had PAP measured by echocardiography.
Clinical and laboratory data of the patients were recorded.
Results.
PHT (PAP>35 mmHg) was detected in 22 patients (39%; PAP 42±6 mmHg) and was diagnosed in 18.5% of PD patients and 58.6% of HD patients (P=.0021).
The group of subjects with PH had higher dialysis vintage (63±60 versus 27±32 months, P=.016), interdialytic weight gain (2.1±1 versus 1.3±0.9 Kg, P=.016), lower diastolic blood pressure (73±12 versus 80±8 mmHg, P=.01) and ejection fraction (54±13 versus 60±7%, P=.021) than the patients with normal PAP.
PAP was correlated positively with diastolic left ventricular volume (r=0.32, P=.013) and negatively with ejection fraction (r=−0.54, P<.0001).
PHT was independently associated with dialysis vintage (OR 1.022, 95% CI 1.002–1.041, P=.029) and diastolic blood pressure (OR 0.861, 95% CI 0.766–0.967, P=.011).
Conclusions.
PHT is frequent in dialysis patients, it appears to be a late complication of HD treatment, mainly related to cardiac performance and cardiovascular disease history.
American Psychological Association (APA)
Fabbian, Fabio& Cantelli, Stefano& Molino, Christian& Pala, Marco& Longhini, Carlo& Portaluppi, Francesco. 2010. Pulmonary Hypertension in Dialysis Patients : A Cross-Sectional Italian Study. International Journal of Nephrology،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-460189
Modern Language Association (MLA)
Fabbian, Fabio…[et al.]. Pulmonary Hypertension in Dialysis Patients : A Cross-Sectional Italian Study. International Journal of Nephrology No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-460189
American Medical Association (AMA)
Fabbian, Fabio& Cantelli, Stefano& Molino, Christian& Pala, Marco& Longhini, Carlo& Portaluppi, Francesco. Pulmonary Hypertension in Dialysis Patients : A Cross-Sectional Italian Study. International Journal of Nephrology. 2010. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-460189
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-460189