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Acute changes in cardiac structural and tissue characterisation parameters following haemodialysis measured using cardiovascular magnetic resonance.


ABSTRACT: In patients with chronic kidney disease (CKD), reverse left ventricular (LV) remodelling, including reduction in LV mass, can be observed following long-term haemodialysis (HD) and has been attributed to regression of LV hypertrophy. However, LV mass can vary in response to changes in myocyte volume, edema, or fibrosis. The aims of this study were to investigate the acute changes in structural (myocardial mass and biventricular volumes) and tissue characterization parameters (native T1 and T2) following HD using cardiovascular magnetic resonance (CMR). Twenty-five stable HD patients underwent non-contrast CMR including volumetric assessment and native T1 and T2 mapping immediately pre- and post-HD. The mean time between the first and second scan was 9.1?±?1.1?hours and mean time from completion of dialysis to the second scan was 3.5?±?1.3?hours. Post-HD, there was reduction in LV mass (pre-dialysis 98.9?±?36.9?g/m2 vs post-dialysis 93.3?±?35.8?g/m2, p?=?0.003), which correlated with change in body weight (r?=?0.717, p?

SUBMITTER: Kotecha T 

PROVIDER: S-EPMC6362126 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature

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Acute changes in cardiac structural and tissue characterisation parameters following haemodialysis measured using cardiovascular magnetic resonance.

Kotecha Tushar T   Martinez-Naharro Ana A   Yoowannakul Suree S   Lambe Tabitha T   Rezk Tamer T   Knight Daniel S DS   Hawkins Philip N PN   Moon James C JC   Muthurangu Vivek V   Kellman Peter P   Rakhit Roby D RD   Gillmore Julian D JD   Jeetley Paramjit P   Davenport Andrew A   Fontana Marianna M  

Scientific reports 20190204 1


In patients with chronic kidney disease (CKD), reverse left ventricular (LV) remodelling, including reduction in LV mass, can be observed following long-term haemodialysis (HD) and has been attributed to regression of LV hypertrophy. However, LV mass can vary in response to changes in myocyte volume, edema, or fibrosis. The aims of this study were to investigate the acute changes in structural (myocardial mass and biventricular volumes) and tissue characterization parameters (native T1 and T2) f  ...[more]

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