Research on the morphology and function of the right ventricle pre- and post-dialysis by echocardiography in patients with end-stage renal disease

  • Phạm Thế Thọ
  • Phạm Thái Giang Bệnh viện Trung ương Quân đội 108
  • Trần Thái Hà Bệnh viện Trung ương Quân đội 108
  • Nguyễn Văn Cường Bệnh viện Trung ương Quân đội 108
  • Phạm Văn Chính Bệnh viện Trung ương Quân đội 108
  • Nguyễn Thị Thu Hoài Bệnh viện Bạch Mai

Main Article Content

Keywords

Echocardiography, right ventricular morphology and function, chronic renal failure, dialysis

Abstract

Objective: To assess the changes on the morphology and function of the right ventricle pre- and post-dialysis by echocardiography in patients with end stage renal disease. Subject and method: Prospective cross-sectional studies; 71 end-stage renal disease patients treated in the Nephrology and Dialysis department in 108 Military Central Hospital. Echocardiography methods: Two-dimensional echocardiography; Doppler echocardiography; 2D speckle tracking echocardiography. Result: The changes on the right ventricular parameters after dialysis: RV, RVOT, EDA, ESA parameters decreased significantly (p<0.01). The RV systolic function after dialysis: Tei RV index increased (0.49 ± 0.06 compared to 0.39 ± 0.07; p<0.01); TAPSE, S', RV GLS (%) and RVFW LS (%) decreased significantly (p<0.01). The RV diastolic function after dialysis: E, A, E', A' waves velocity, E/A, E'/A' ratio decreased significantly (p<0.01); the deceleration time of E wave (p<0.01) increased. Conclusion: In patients with end-stage renal disease, RV morphology and function parameters on echocardiography had been markedly affected by dialysis.

Article Details

References

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