title: Fibrinogen, inflammation and concentric left ventricular hypertrophy in chronic renal failure.
abstract: BACKGROUND
  We investigated the relationship between fibrinogen and echocardiographic measurements of left ventricular (LV) geometry and LV function in a group of 192 patients with end stage renal disease (ESRD).
  
  
  RESULTS
  Patients in the third fibrinogen tertile had higher mean wall thickness (MWT), relative wall thickness (RWT) and left ventricular mass index (LVMI) and lower LV end diastolic diameter and LV ejection fraction than those in the other tertiles. On multivariate analysis fibrinogen resulted to be an independent correlate of MWT (P = 0.001) and RWT (P = 0.0001) and the first factor in rank explaining the variance in LV ejection fraction (P = 0.0001). Left ventricular concentric hypertrophy was more prevalent (P = 0.001) in patients in the third fibrinogen tertile (n = 35, 54%) than in those in the second (n = 24, 37%) and first (n = 13, 21%) tertiles. In a multiple logistic regression model patients in the third tertile of fibrinogen had a risk for left ventricular concentric hypertrophy that was 3.56 (95% CI: 1.56-8.14) fold higher than in those in the first tertile (P = 0.003).
  
  
  CONCLUSIONS
  Elevated fibrinogen is independently associated with LV concentric hypertrophy and systolic dysfunction in ESRD patients. These relationships may contribute to the negative prognostic impact of elevated fibrinogen levels in ESRD.
authors.affiliation: Clinical Epidemiology and Pathophysiology of Renal Diseases and Hypertension, c/o Ospedali Riuniti Bianchi-Melacrino-Morelli Via Vallone Petrara, 89124 Reggio Calabria, Italy. carmine.zoccali@tin.it
authors.forename: C
authors.initials: C
authors.lastname: Zoccali
authors.forename: F A
authors.initials: FA
authors.lastname: Benedetto
authors.forename: F
authors.initials: F
authors.lastname: Mallamaci
authors.forename: G
authors.initials: G
authors.lastname: Tripepi
authors.forename: S
authors.initials: S
authors.lastname: Cutrupi
authors.forename: S
authors.initials: S
authors.lastname: Parlongo
authors.forename: L S
authors.initials: LS
authors.lastname: Malatino
authors.forename: G
authors.initials: G
authors.lastname: Bonanno
authors.forename: F
authors.initials: F
authors.lastname: Rapisarda
authors.forename: P
authors.initials: P
authors.lastname: Fatuzzo
authors.forename: G
authors.initials: G
authors.lastname: Seminara
authors.forename: G
authors.initials: G
authors.lastname: Nicocia
authors.forename: M
authors.initials: M
authors.lastname: Buemi
mesh_terms: D001794:Blood Pressure; D004452:Echocardiography; D005260:Female; D005340:Fibrinogen / Q000032:analysis*; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000097:blood* / Q000473:pathology / Q000503:physiopathology; D007676:Kidney Failure, Chronic / Q000097:blood*; D008297:Male; D008875:Middle Aged; D018487:Ventricular Dysfunction, Left / Q000473:pathology / Q000503:physiopathology
chemical_list: D005340:Fibrinogen