Echocardiographic Assessment of Cardiac Structural and Functional Abnormalities in Patients with End-Stage Renal Disease Receiving Chronic Hemodialysis

• Material Type: 博士論文
• Title: Echocardiographic Assessment of Cardiac Structural and Functional Abnormalities in Patients with End-Stage Renal Disease Receiving Chronic Hemodialysis
• Author/Editor: Matsuo, Hiroshi
• Author Heading: Matsuo, Hiroshi
• Publication, Distribution, etc.: 三重大学
• Publication Date: 2017-12-20
• Publication Date (W3CDTF): 2017-12-20
• Degree grantor/type: 三重大学
• Date Granted: 2017-12-20
• Date Granted (W3CDTF): 2017-12-20
• Dissertation Number: 乙医学第1011号
• Degree Type: 博士(医学)
• Conferring No. (Dissertation): 乙医学第1011号
• Text Language Code: eng
• Alias of Author: マツオ, ヒロシ; 松尾, 浩司
• Subject Heading: Aortic valve sclerosis; Echocardiography; End-stage renal disease; Hemodialysis; Left ventricle
• Target Audience: 一般
• Note (General): application/pdf; Background: The aim of this study was to assess the echocardiographic characteristics of chronic hemodialysis (HD) patients with end-stage renal disease (ESRD) in a multicenter prospective cohort study. Methods and Results: Three hundred and fifteen patients with ESRD (67.9±10.6 years, 47.6% male) on chronic HD for ≥1 year were examined on transthoracic echocardiography, including Doppler-derived aortic valve area (AVA) measurement. Only 11.5% and 3.4% of all patients had normal left ventricular (LV) geometry and normal LV filling pattern, respectively. The majority of patients had aortic and mitral valvular calcification, and approximately 50% of all 315 patients had aortic valve narrowing with AVA <2.0 cm2. Patients were divided into 3 groups according to AVA index tertile: group 1, highest tertile; group 2, middle tertile; and group 3, lowest tertile. Group 3 was older, had a greater cardiothoracic ratio on chest X-ray, higher plasma brain natriuretic peptide and total LV afterload, and lower stroke volume index than the other 2 groups. Age and intact parathyroid hormone (PTH) level were independently associated with low AVA index. Conclusions: Patients with ESRD on chronic HD have a high prevalence of cardiac structural and functional abnormalities including calcified aortic sclerosis. High age and PTH were associated with aortic valve narrowing in these patients.; 本文 / Department of Cardiology and Nephrology, Mie University Graduate School of Medicine; 10p
• DOI: info:doi/10.1253/circj.CJ-17-0393; https://doi.org/info:doi/10.1253/circj.CJ-17-0393
• Persistent ID (NDL): info:ndljp/pid/11063542; https://dl.ndl.go.jp/pid/11063542
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2018-04-03T03:53:09+09:00
• Date Created (W3CDTF): 2018-02-28
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://hdl.handle.net/10076/00017515; https://mie-u.repo.nii.ac.jp/records/11877
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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2023-12-15 再収集