TY - JOUR
T1 - Echocardiographic detection of cardiac effects of arterio-venous dialysis fistula
AU - Canton, A. Dal
AU - Maione, S.
AU - Russo, D.
AU - Teti, C.
AU - Serino, C.
AU - Gallo, R.
AU - Andreucci, V. E.
PY - 1981
Y1 - 1981
N2 - The effects of the dialysis fistula were evaluated by echocardiography in 10 patients with terminal renal failure. Echocardiography was performed the day before creation of the fistula (E0) and was then repeated 24 hours after surgery (E1), the day before the first dialysis (E2), the day following the fourth dialysis (E3) and, finally, after 6 months of RDT (E4). Left ventricular internal diameter was measured both in diastole (LVIDd) and in systole (LVIDs), allowing calculation of ventricular diameter percent shortening (LVID%), of ventricular diastolic (EDV) and systolic volume (ESV). In E1 the fistula caused a significant increase in LVIDd, accounting for a rise also in EDV. This ventricular dilation persisted in E2, but was abolished in E3 and in E4. LVIDs, ESV, and LVID% were unmodified troughout the study. These results show that the dialysis fistula causes an immediate rise in cardiac pre-load, which is rapidly reversed by RDT.
AB - The effects of the dialysis fistula were evaluated by echocardiography in 10 patients with terminal renal failure. Echocardiography was performed the day before creation of the fistula (E0) and was then repeated 24 hours after surgery (E1), the day before the first dialysis (E2), the day following the fourth dialysis (E3) and, finally, after 6 months of RDT (E4). Left ventricular internal diameter was measured both in diastole (LVIDd) and in systole (LVIDs), allowing calculation of ventricular diameter percent shortening (LVID%), of ventricular diastolic (EDV) and systolic volume (ESV). In E1 the fistula caused a significant increase in LVIDd, accounting for a rise also in EDV. This ventricular dilation persisted in E2, but was abolished in E3 and in E4. LVIDs, ESV, and LVID% were unmodified troughout the study. These results show that the dialysis fistula causes an immediate rise in cardiac pre-load, which is rapidly reversed by RDT.
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U2 - 10.3109/08860228109076018
DO - 10.3109/08860228109076018
M3 - Article
AN - SCOPUS:84907132588
VL - 5
SP - 259
EP - 267
JO - Renal Failure
JF - Renal Failure
SN - 0886-022X
IS - 3
ER -