ECHOCARDIOGRAPHIC DETERMINANTS FOR DIASTOLIC DYSFUNCTION IN CHRONIC KIDNEY DISEASE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 12
Abstract
BACKGROUND Diastolic dysfunction is associated with adverse outcome. There are no direct means to determine diastolic function by echocardiography, however, a multitude of echocardiography parameters assist in determining the diastolic dysfunction. The application of these parameters is not well validated in chronic kidney disease subjects. MATERIALS AND METHODS This study used echocardiography parameters to determine diastolic function in chronic kidney disease and in normal subjects. RESULTS Left atrial volume index appears to be a strong parameter for determining diastolic dysfunction in this subset. CONCLUSION Echocardiographic parameters as a standalone tool for determining diastolic dysfunction in the presence of chronic kidney disease are inadequate. Therefore, a combination of these parameters becomes mandatory to gauge the diastolic dysfunction in chronic kidney disease patients. Left atrial volume index may be proposed as a significant tool for diastolic dysfunction and it should be an essential part of echocardiographic interrogation in chronic kidney disease patients.
Authors and Affiliations
Smit Shrivastava, Suresh Chandravanshi, Prakash Sultania, Abhikrishna Singh, Sunil Kumar Karna, Rimjhim Shrivastava
Keywords
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- EP ID EP555689
- DOI 10.14260/jemds/2019/206
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