title: Left ventricular mass behaviour in hemodialysis patients during 17 years.
abstract: BACKGROUND
  Ventricular hypertrophy is frequent in dialysis patients and is associated with an ominous prognosis. It is not knowledge if this ventricular change is growing or decreasing in hemodialysis patients.
  
  
  OBJECTIVE
  To assess left ventricular hypertrophy behaviour during 17 years in patients of a university dialysis center, as well as to verify the possible causes of this behavior.
  
  
  METHODS
  There was performed a retrospective longitudinal study that evaluated the echocardiographic left ventricular mass in hemodialysis patients in our dialysis facility over 17 years. Examinations of 250 patients aged 18 years or more who underwent routine echocardiography were included.
  
  
  RESULTS
  There was a progressive reduction of ventricular mass over studied period. This reduction was associated with blood pressure reduction. In multivariate analysis, ventricular mass was associated with blood pressure and hemoglobin.
  
  
  CONCLUSIONS
  Left ventricular hypertrophy underwent significant reduction over 17 years in our hemodialysis patients. The factors associated with this reduction that could be identified in the current study were the progressive reduction of blood pressure and hemoglobin increase.
authors.affiliation: Universidade Estadual Paulista, BR.
authors.forename: Loren Giagio
authors.initials: LG
authors.lastname: Cavalcante
authors.affiliation: Universidade Estadual Paulista, BR.
authors.forename: Cavalcante
authors.initials: C
authors.lastname: Ricardo de Souza
authors.affiliation: Universidade Estadual Paulista, BR.
authors.forename: Ana Claudia
authors.initials: AC
authors.lastname: Kochi
authors.affiliation: Universidade Estadual Paulista, BR.
authors.forename: Katashi
authors.initials: K
authors.lastname: Okoshi
authors.affiliation: Universidade Estadual Paulista, BR.
authors.forename: Silméia Garcia Zanati
authors.initials: SG
authors.lastname: Basan
authors.affiliation: Universidade Estadual Paulista, BR.
authors.forename: João Carlos
authors.initials: JC
authors.lastname: Hueb
authors.affiliation: Universidade Estadual Paulista, BR.
authors.forename: Rosana dos Santos e Silva
authors.initials: Rdos S
authors.lastname: Martin
authors.affiliation: Universidade Estadual Paulista, BR.
authors.forename: Rogério Carvalho de
authors.initials: RC
authors.lastname: Oliveira
authors.affiliation: Universidade Estadual Paulista, BR.
authors.forename: Vanessa Burgungi
authors.initials: VB
authors.lastname: Banin
authors.affiliation: Universidade Estadual Paulista, BR.
authors.forename: Pasqual
authors.initials: P
authors.lastname: Barretti
authors.affiliation: Universidade Estadual Paulista, BR.
authors.forename: Roberto Jorge da Silva
authors.initials: RJ
authors.lastname: Franco
authors.affiliation: Universidade Estadual Paulista, BR.
authors.forename: Luis Cuadrado
authors.initials: LC
authors.lastname: Martin
mesh_terms: D000328:Adult; D018450:Disease Progression; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000453:epidemiology*; D008137:Longitudinal Studies; D008875:Middle Aged; D006435:Renal Dialysis; D012189:Retrospective Studies; D013997:Time Factors