Reverse correlation between ankle-brachial index and left ventricular hypertrophy in patients on maintenance haemodialysis

Nephrology
Wencheng FuWenjing Wang

Abstract

Left ventricular hypertrophy (LVH) and peripheral vascular disease (PVD) are highly prevalent among patients undergoing maintenance haemodialysis (MHD) and contribute to most cardiovascular mortalities in this population. Ankle-brachial index (ABI) has been recently demonstrated to be a predictor for all-cause and cardiovascular mortality in MHD Patients. The main objective of the present study is to see whether ABI is correlated with LVH in MHD patients. One hundred and sixteen MHD patients selected from our dialysis unit were enrolled in this study. Colour Doppler ultrasonic examinations were performed at their hearts, both lower extremities and non-fistula upper extremities to determine the morphological and haemodynamic changes of their hearts and the systolic pressures of both their posterior tibial arteries, dorsalis pedis arteries and non-fistula brachial arteries. ABI was calculated on the basis of systolic pressures of the lower extremities and non-fistula upper extremities, and the correlation between ABI and LVH was analysed. Seventy-four (63.8%) MHD patients presented with LVH and related haemodynamic changes of varying degrees. There was a significant difference in ABI between the LVH group and the non-LVH group (0...Continue Reading

References

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Citations

Nov 13, 2015·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Szu-Chia ChenHo-Ming Su
Apr 22, 2009·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Satoshi MorimotoKei Maki
Jul 2, 2016·PloS One·Yoshifumi AmariAtsuhiro Ichihara
Jan 10, 2012·Kidney & Blood Pressure Research·Zaida Noemy Cabrera JimenezRosilene Motta Elias
Nov 30, 2019·Disease Markers·Hui-Ju TsaiHung-Chun Chen
Jun 19, 2019·The Journal of Clinical Hypertension·Shikai YuUNKNOWN Northern Shanghai Study investigators

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