Tag Archives: heart disease
Pediatric RIFLE for Acute Kidney Injury Diagnosis and Prognosis for Children Undergoing Cardiac Surgery: A Single-Center Prospective Observational Study.
Hemodialysis.com eInterview with:
Written Interview conducted with author by Editor Marie Benz, MD
Hemodialysis.com: What are the main findings of the study?
Dr. Ricci: The main finding was that pRIFLE works properly in a relatively large cohort of neonates and infants with congenital heart disease. In fact it correlated strongly with predictive variables of AKI (cross-clamp time, inotropes and vasopressors use and surgical risk score) and it was also associated with prognostic factors (length of mechanical ventilation, length of intensive care unit stay and need for renal replacement).
Marie Benz, MD on Google+Heart Failure with Preserved or Reduced Ejection Fraction in Patients Treated With Peritoneal Dialysis
Hemodialysis.com Interview with
Angela Yee-Moon Wang, MD, PhD, FRCP
Research performed at Prince of Wales Hospital, Chinese University of Hong Kong
Current affiliation: Dept of Med, Queen Mary Hospital, University of Hong Kong
Hemodialysis.com: What are the main findings of the study?
Dr. Wang: This prospective study is so far the first to investigate the prevalence of heart failure with preserved ejection fraction (HFPEF) and compare the long-term clinical outcomes of heart failure with preserved or reduced ejection fraction in the dialysis population and specifically in the peritoneal dialysis (PD) patients.
We observed a very high prevalence of heart failure with preserved ejection fraction (HFPEF) (~ 55%) in the PD patients, suggesting that this is a very common heart failure entity in the PD patients. Furthermore, our study is the first to show that PD patients having HFPEF were associated with an increased risk of mortality and adverse cardiovascular outcomes including cardiovascular death, fatal or non-fatal cardiovascular events, and heart failure compared to patients without heart failure. However, the risk for all-cause mortality, cardiovascular death, fatal or non-fatal cardiovascular events, and heart failure was lower when compared to patients having heart failure with reduced ejection fraction (HFREF).
CMV seropositivity is associated with increased arterial stiffness in patients with CKD
Hemodialysis.com Author Interview:
Charlie J. Ferro, BSc, MD, FRCP
School of Immunity and Infection, University of Birmingham
Birmingham, United Kingdom
Hemodialysis.com:What are the main findings of the study?
Dr. Ferro: Patients with chronic kidney disease have an increased cardiovascular risk that is not fully explained by traditional risk factors but appears to be related to increased arterial stiffness. Cytomegalovirus (CMV) infection is associated with increased cardiovascular risk although the mechanisms for this are unknown. In our study, arterial stiffness, as measured by carotid-femoral pulse wave velocity and arterial aortic distensibilty, was consistently and considerably higher in CMV seropositive patients.
Exercise attenuates renal dysfunction with preservation of myocardial function in chronic kidney disease
Hemodialysis.com Author Interview: Dr. Rafael da Silva Luiz
Laboratório de Fisiologia e Fisiopatologia Renal
Hemodialysis.com: What are the main findings of the study?
Dr. Rafael da Silva Luiz : It was observed that exercises overload can also be a non-drug treatment options for chronic kidney disease, because have a substantial decrease in proteinuria (around 50%) and in the glomerular sclerosis (16%).
A Longitudinal Study of Left Ventricular Function and Structure from CKD to ESRD: The CRIC Study
Hemodialysis.com Author Interview:
Nisha Bansal, MD, MAS
Assistant Professor, Division of Nephrology
University of California, San Francisco
Hemodialysis.com: What are the main findings of the study?
Dr. Bansal : Our study found that among patients with CKD, left ventricular mass is fixed by moderate to advanced stages of CKD, while there is a modest decline of left ventricular ejection fraction from CKD through ESRD.
Atrial fibrillation, atrioventricular blocks and bundle branch blocks in hemodialysis patients
Hemodialysis.com Author Interview: Ante Mandić
Health Center Siroki Brijeg, Siroki Brijeg, Bosnia and Herzegovin
Hemodialysis.com: What are the main findings of the study?
Our study included 140 patients (58 females, 82 males; the average age 61 ± 15 years) on chronic hemodialysis program. We investigated the prevalence of atrial fibrillation, atrioventricular blocks and bundle branch blocks (complete and incomplete) in these patients and analyzed different clinical factors.
Atrial fibrillation was present in 11 (7.9%) of the 140 patients. In multivariate analysis, age and higher concentration of uric acid were associated with atrial fibrillation.
