Evaluation of arterial stiffness between peritoneal dialysis and hemodialysis in patients with renal replacement therapy

Tufan Günay; Dursun Topal; Suat Akgür

Makale detayları

Evaluation of arterial stiffness between peritoneal dialysis and hemodialysis in patients with renal replacement therapy

Yazarlar:

Tufan Günay | Dursun Topal | Suat Akgür

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Cardiology

Dergi:

The European Research Journal Vol.9 Issue 5, pp.1040-1047

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001288116

pISSN:

2149-3189

Anahtar kelimeler:

Özet:

 Objectives: The aortic stiffness index beta ASI-β, calculated noninvasively with the pressure change caused by arterial strain and volume changes on echocardiography, shows a strong correlation with invasive measurements of arterial stiffness. This study aimed to compare arterial stiffness and distensibility between peritoneal dialysis PD and hemodialysis HD and patients in renal replacement therapy. Methods: This cross-sectional and observational study analyzed 108 patients under renal replacement therapy PD and HD. The aortic stiffness index beta ASI-β was calculated for each group. Results: The mean age of the patients in the study was 58.211.1 years, and 49 45.4 of the patients were female and 59 54.6 were male. Age, gender, comorbid rates, and levels of blood pressure and heart rate did not differ between the PD and HD groups. Blood pressure levels and heart rate. Mean aortic strain 5.61.9 vs. 9.42.8, p  0.001 and median distensibility 1.5 vs. 2.9 cm, p  0.001 were lower in the PD group than the HD group, while median ASI-β 11.6 vs. 6.2, p  0.001 and mean Ee 10.62.9 vs. 9.22.3, p  0.006 were higher in the PD group. The rate of concentric hypertrophy was higher in the PD group 47.5 vs. 23.5, p  0.005. Conclusion: PD patients have higher arterial stiffness and lower distensibility levels compared to HD patients. Therefore, patients with PD may be more prone to diastolic dysfunction, cardiovascular disease, and events.

 Objectives: The aortic stiffness index beta ASI-β, calculated noninvasively with the pressure change caused by arterial strain and volume changes on echocardiography, shows a strong correlation with invasive measurements of arterial stiffness. This study aimed to compare arterial stiffness and distensibility between peritoneal dialysis PD and hemodialysis HD and patients in renal replacement therapy. Methods: This cross-sectional and observational study analyzed 108 patients under renal replacement therapy PD and HD. The aortic stiffness index beta ASI-β was calculated for each group. Results: The mean age of the patients in the study was 58.211.1 years, and 49 45.4 of the patients were female and 59 54.6 were male. Age, gender, comorbid rates, and levels of blood pressure and heart rate did not differ between the PD and HD groups. Blood pressure levels and heart rate. Mean aortic strain 5.61.9 vs. 9.42.8, p  0.001 and median distensibility 1.5 vs. 2.9 cm, p  0.001 were lower in the PD group than the HD group, while median ASI-β 11.6 vs. 6.2, p  0.001 and mean Ee 10.62.9 vs. 9.22.3, p  0.006 were higher in the PD group. The rate of concentric hypertrophy was higher in the PD group 47.5 vs. 23.5, p  0.005. Conclusion: PD patients have higher arterial stiffness and lower distensibility levels compared to HD patients. Therefore, patients with PD may be more prone to diastolic dysfunction, cardiovascular disease, and events.

 Objectives: The aortic stiffness index beta ASI-β, calculated noninvasively with the pressure change caused by arterial strain and volume changes on echocardiography, shows a strong correlation with invasive measurements of arterial stiffness. This study aimed to compare arterial stiffness and distensibility between peritoneal dialysis PD and hemodialysis HD and patients in renal replacement therapy. Methods: This cross-sectional and observational study analyzed 108 patients under renal replacement therapy PD and HD. The aortic stiffness index beta ASI-β was calculated for each group. Results: The mean age of the patients in the study was 58.211.1 years, and 49 45.4 of the patients were female and 59 54.6 were male. Age, gender, comorbid rates, and levels of blood pressure and heart rate did not differ between the PD and HD groups. Blood pressure levels and heart rate. Mean aortic strain 5.61.9 vs. 9.42.8, p  0.001 and median distensibility 1.5 vs. 2.9 cm, p  0.001 were lower in the PD group than the HD group, while median ASI-β 11.6 vs. 6.2, p  0.001 and mean Ee 10.62.9 vs. 9.22.3, p  0.006 were higher in the PD group. The rate of concentric hypertrophy was higher in the PD group 47.5 vs. 23.5, p  0.005. Conclusion: PD patients have higher arterial stiffness and lower distensibility levels compared to HD patients. Therefore, patients with PD may be more prone to diastolic dysfunction, cardiovascular disease, and events.

 Objectives: The aortic stiffness index beta ASI-β, calculated noninvasively with the pressure change caused by arterial strain and volume changes on echocardiography, shows a strong correlation with invasive measurements of arterial stiffness. This study aimed to compare arterial stiffness and distensibility between peritoneal dialysis PD and hemodialysis HD and patients in renal replacement therapy. Methods: This cross-sectional and observational study analyzed 108 patients under renal replacement therapy PD and HD. The aortic stiffness index beta ASI-β was calculated for each group. Results: The mean age of the patients in the study was 58.211.1 years, and 49 45.4 of the patients were female and 59 54.6 were male. Age, gender, comorbid rates, and levels of blood pressure and heart rate did not differ between the PD and HD groups. Blood pressure levels and heart rate. Mean aortic strain 5.61.9 vs. 9.42.8, p  0.001 and median distensibility 1.5 vs. 2.9 cm, p  0.001 were lower in the PD group than the HD group, while median ASI-β 11.6 vs. 6.2, p  0.001 and mean Ee 10.62.9 vs. 9.22.3, p  0.006 were higher in the PD group. The rate of concentric hypertrophy was higher in the PD group 47.5 vs. 23.5, p  0.005. Conclusion: PD patients have higher arterial stiffness and lower distensibility levels compared to HD patients. Therefore, patients with PD may be more prone to diastolic dysfunction, cardiovascular disease, and events.

Makale detayları

Evaluation of arterial stiffness between peritoneal dialysis and hemodialysis in patients with renal replacement therapy

Yazarlar:

Tufan Günay | Dursun Topal | Suat Akgür

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Cardiology

Dergi:

The European Research Journal Vol.9 Issue 5, pp.1040-1047

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001288116

pISSN:

2149-3189

Aortic stiffness index

renal replacement therapy

cardiovascular disease

peritoneal dialysis

hemodialysis.

Sayı

Makale detayları

Evaluation of arterial stiffness between peritoneal dialysis and hemodialysis in patients with renal replacement therapy

Yazarlar: Tufan Günay | Dursun Topal | Suat Akgür

Yayıncı: Prusa Medical Publishing

Ana Başlıklar: Cardiology

Dergi: The European Research Journal Vol.9 Issue 5, pp.1040-1047

Belge Tipi: Makale

Yayın Tarihi: 4/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001288116

pISSN: 2149-3189

Aortic stiffness index

renal replacement therapy

cardiovascular disease

peritoneal dialysis

hemodialysis.

Sayı

Yazarlar:

Tufan Günay | Dursun Topal | Suat Akgür

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Cardiology

Dergi:

The European Research Journal Vol.9 Issue 5, pp.1040-1047

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001288116

pISSN:

2149-3189