Differences in cardiac function changes between diabetic and non-diabetic hemodialysis patients.
The main cause of death in chronic hemodialysis patients is heart failure. We studied cardiac function prospectively in diabetic and non-diabetic patients who had recently been started on hemodialysis. We analyzed the mechanocardiograms and echocardiograms in addition to routine blood chemistry tests, chest X-rays, and electrocardiograms of ten hemodialysis patients at our hospital from 1989 to 1991. Ejection fraction (EF) and fractional shortening (FS) were not significantly different between diabetic patients and non-diabetic patients at the start of hemodialysis. After starting hemodialysis, EF and FS declined in diabetic patients. In contrast, non-diabetic patients did not show any changes in EF and FS during hemodialysis. The results demonstrated a poor prognosis in cardiac systolic function in hemodialysis patients with diabetes mellitus.
Kubo
M
M
Department of Internal Medicine and Hypertension Center, Kinki Central Hospital, Hyogo, Japan.
Murakami
E
E
Matsuzaki
K
K
Mukai
M
M
Kazatani
Y
Y
Nanahoshi
M
M
Kokubu
T
T
D000328:Adult; D000368:Aged; D003920:Diabetes Mellitus / Q000503:physiopathology*; D004452:Echocardiography; D005260:Female; D006339:Heart Rate; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D006435:Renal Dialysis / Q000009:adverse effects; D013318:Stroke Volume