[Left ventricular remodeling in outpatients with chronic renal failure treated with hemodialysis].
OBJECTIVE
To study left ventricular remodeling (LVR) in patients with end-stage renal disease (ESRD) treated by hemodialysis (HD).


METHODS
A total of 122 patients with ESRD were examined: 21 patients with predialysis ESRD (group 1), 37 patients treated by HD for 4 hours thrice a week (group 2), 64 patients treated by HD for 5 hours thrice a week (group 3). All the patients have undergone echocardiography. Blood serum hemoglobin, urea, creatinine, albumin, calcium, phosphates, PTH were measured. URR and Kt/ V were calculated in patients of group 2 and 3.


RESULTS
LVM and ILVM were significantly higher in patients of group 2, excentric geometry predominated (63.2%).


CONCLUSIONS
Prolongation of HD procedure from 4 to 5 hours thrice a week positively influences left ventricular remodeling and increases the survival of ESRD patients treated by HD.
Romasheva
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Davydkin
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D000328:Adult; D000553:Ambulatory Care; D018572:Disease-Free Survival; D004452:Echocardiography; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000000981:diagnostic imaging / Q000209:etiology; D008297:Male; D006435:Renal Dialysis / Q000009:adverse effects*; D051436:Renal Insufficiency, Chronic / Q000628:therapy*; D013997:Time Factors; D020257:Ventricular Remodeling / Q000502:physiology