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Echocardiographic predictors of interatrial block in patients with severe chronic kidney disease

التفاصيل البيبلوغرافية
العنوان: Echocardiographic predictors of interatrial block in patients with severe chronic kidney disease
المؤلفون: Tolga Doğan, Mucahit Yetim, Ibrahim Dogan, Macit Kalçık, Yusuf Karavelioğlu, Oğuzhan Çelik, Baris Eser, Lütfü Bekar
المساهمون: MÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çelik, Oğuzhan, Kalçık, Macit, Karavelioğlu, Yusuf, Yetim, Mücahit, Doğan, Tolga, Bekar, Lütfü
المصدر: International Urology and Nephrology. 52:933-941
بيانات النشر: Springer Science and Business Media LLC, 2020.
سنة النشر: 2020
مصطلحات موضوعية: Adult, Male, Nephrology, medicine.medical_specialty, Urology, 030232 urology & nephrology, Renal function, 030204 cardiovascular system & hematology, Left ventricular hypertrophy, Severity of Illness Index, Electrocardiography, 03 medical and health sciences, 0302 clinical medicine, Predictive Value of Tests, Internal medicine, Chronic Kidney Disease, medicine, Humans, Interatrial Block, In patient, cardiovascular diseases, Renal Insufficiency, Chronic, Aged, medicine.diagnostic_test, business.industry, Atrial fibrillation, Middle Aged, medicine.disease, Echocardiography, Case-Control Studies, cardiovascular system, Cardiology, Female, business, Kidney disease
الوصف: Background Interatrial block (IAB), defined as a conduction delay between the right and left atrium, is manifested on the electrocardiogram as a prolonged P-wave duration. Large number of studies recently have been published regarding the prevalence of IAB and its associations with the risk of atrial fibrillation and ischemic stroke. Cardiovascular diseases are the leading causes of mortality in chronic kidney disease (CKD). In this study, we aimed to investigate echocardiographic predictors of IAB in patients with severe CKD. Methods This study enrolled a total of 155 patients [male: 95 (61.3%), mean age: 56.3 +/- 12.8 years] with severe CKD (glomerular filtration rate < 30 mL/min). All patients were evaluated by electrocardiography and transthoracic echocardiography. IAB was defined as P wave duration of >= 120 ms on electrocardiography. Results Electrocardiography revealed IAB in 54 patients. The baseline demographic characteristics of the patients were similar in both groups with and without IAB. Left atrial diameter (LAD), left ventricular end-systolic and end-diastolic diameters, interventricular septal thickness, posterior wall thickness, left ventricular mass, left ventricular mass index (LVMI), and the prevalence of left ventricular hypertrophy were found to be significantly increased in patients with IAB. Increased LAD (OR = 1.119; 95% CI 1.019-1.228; p = 0.019) and LVMI (OR = 1.036; 95% CI 1.003-1.070; p = 0.031) were found to be independent predictors of IAB. Conclusion A significant association exists between the presence of IAB and echocardiographic parameters related to left ventricular hypertrophy and left atrial dilatation. Presence of IAB may be an additional and easy diagnostic marker for risk stratification of patients with severe CKD. WOS:000529691700016 2-s2.0-85081382818 PubMed: 32157618
وصف الملف: application/pdf
تدمد: 1573-2584
0301-1623
DOI: 10.1007/s11255-020-02430-0
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9069c6bdee601bb283b39d8480419ba8
https://doi.org/10.1007/s11255-020-02430-0
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....9069c6bdee601bb283b39d8480419ba8
قاعدة البيانات: OpenAIRE
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