title: [Doppler echocardiography of left ventricular filling in chronic renal insufficiency: before and after dialysis].
abstract: Hemodialysis can achieve loss of body water, variable in the different water compartments, and that depends on the dry weight and the composition of the dialysate. We have studied echocardio-Doppler findings in 26 end stage renal disease patients (from 26 to 84 years), in whom 25 have hypertension, in sinusal rythm and ejection fraction above 55%. When they achieved a 3.52% decrease in body weight, without modification of heart rate and decrease in median arterial pression, these patients exhibited decrease in auricular (p = 0.001) and ventricular diameter both in systole and diastole (p = 0.001), in maximum velocity of E wave (p = 0.001) and E/A ratio. There was no significant reduction of maximum velocity of A wave, but 4 differents patterns of E/A ratio were demonstrated. The main determinant factor of these patterns was found to be the age of the patient.
authors.affiliation: Service de cardiologie, Hôpital universitaires de Strasbourg.
authors.forename: M P
authors.initials: MP
authors.lastname: Douchet
authors.forename: P
authors.initials: P
authors.lastname: Couppie
authors.forename: A
authors.initials: A
authors.lastname: Verdun
authors.forename: K
authors.initials: K
authors.lastname: Kunz
authors.forename: F
authors.initials: F
authors.lastname: Chantrel
authors.forename: E
authors.initials: E
authors.lastname: Quiring
authors.forename: T
authors.initials: T
authors.lastname: Hannedouche
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D001794:Blood Pressure; D015150:Echocardiography, Doppler; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000503:physiopathology; D006439:Hemodynamics; D006801:Humans; D007676:Kidney Failure, Chronic / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D016277:Ventricular Function, Left
vernacular_title: Etude écho-Doppler du remplissage ventriculaire gauche chez l'insuffisant rénal chronique: avant et après dialyse.