TY - JOUR
T1 - Left ventricular function in end-stage renal disease
T2 - Echocardiographic classification
AU - Kleiger, Robert E.
AU - Demello, Vincent R.
AU - Malone, David
AU - Fernandes, Jose
AU - Thanavaro, Samer
AU - Connors, John P.
AU - Charles Oliver, G.
PY - 1981/7
Y1 - 1981/7
N2 - We used echocardiography (ECHO) to detect pericardial effusions and assess left ventricular (LV) function in 39 patients with end-stage renal disease (ESRD). Pericardial effusions were present in 24 patients (62%). Thirty-one patients (79%) had concentric hypertrophy and 20 patients (51%) had decreased LV compliance. The majority of patients with concentric hypertrophy and decreased LV compliance had normal LV internal dimensions and contractility. Six patients (15%) had ECHO results compatible with congestive cardiomyopathy. An echocardiographic distinction between congestive heart failure, decreased LV compliance, and salt and water overload in ESRD has allowed an appropriate therapeutic decision as to whether to administer cardiac glycosides or increase ultrafiltration as a treatment for pulmonary congestion. ECHO is a safe, convenient, and noninvasive method of assessing serial LV function, and it can be used to document progressive deterioration of LV function in ESRD.
AB - We used echocardiography (ECHO) to detect pericardial effusions and assess left ventricular (LV) function in 39 patients with end-stage renal disease (ESRD). Pericardial effusions were present in 24 patients (62%). Thirty-one patients (79%) had concentric hypertrophy and 20 patients (51%) had decreased LV compliance. The majority of patients with concentric hypertrophy and decreased LV compliance had normal LV internal dimensions and contractility. Six patients (15%) had ECHO results compatible with congestive cardiomyopathy. An echocardiographic distinction between congestive heart failure, decreased LV compliance, and salt and water overload in ESRD has allowed an appropriate therapeutic decision as to whether to administer cardiac glycosides or increase ultrafiltration as a treatment for pulmonary congestion. ECHO is a safe, convenient, and noninvasive method of assessing serial LV function, and it can be used to document progressive deterioration of LV function in ESRD.
UR - https://www.scopus.com/pages/publications/0019828242
U2 - 10.1097/00007611-198107000-00014
DO - 10.1097/00007611-198107000-00014
M3 - Article
C2 - 6454968
AN - SCOPUS:0019828242
SN - 0038-4348
VL - 74
SP - 819
EP - 828
JO - Southern medical journal
JF - Southern medical journal
IS - 7
ER -