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Structural heart disease is a frequent complication of advanced chronic kidney disease andthe leading cause of death in patients with renal replacement therapy, mainly in those on dialysis. There issufficient evidence to demonstrate a regression of left ventricular hypertrophy and improvement ofventricular function after a successful renal transplant. The objective of this study is to describe theexperience regarding the effects of renal transplantation on cardiac remodeling and function and thuscorroborate with local data the benefits of renal transplantation on the left ventricular mass index (LVMIgrs), Left Ventricle Ejection Fraction (LVEF %), Left Atrium Diameter (LAD mm), Left Ventricle DiastolicDiameter (LVDD mm), Left Ventricle Systolic Diameter (LVSD mm), Posterior Wall (PW mm) andInterventricular Septum (IVS mm).Materials and Methods: This is a quantitative, observational, descriptive and retrospective study. Adatabase was constructed whose information was tabulated and subsequently analysed by the statisticalprogram SPSS 13 to perform the statistical analysis. The results of the nominal variables were expressed inpercentages and of the numerical variables in average ± standard deviation (SD) and confidence interval.The study included all adults over18 years with a diagnosis of chronic renal failure who underwent renaltransplantation at Luis Vernaza Hospital between January 2009 to December 2016 and who had pre andpost-transplant transthoracic echocardiography.Results: Of the 132 adults undergoing renal transplantation, 74 patients who met the inclusion criteria wereidentified, their average age was 35.2 years DS (+/- 11.7 years), forty-eight patients (64%) were male. Allpatients were dependent on dialysis, whose average time was 5 years and 88% of the population underwentintermittent hemodialysis weekly. The pre-transplant and post-transplant echocardiographic measurementswere: LVEF (%) 60.89 ± 1,175 vs. 66.81 ± 0.685 (&lt;0.0001); LVMI (grs) 242.54 ± 11.92 vs. 184.62 ± 7,591(&lt;0.0001); LAD (mm) 35.9 ± 0.772 vs. 34.8 ± 0.602 (0.215); LVDD (mm) 47.97 ± 0.756 vs. 44.98 ± 0.927(0.003); LVDS (mm) 29.85 ± 0.897 vs. 26.68 ± 0.681 (0.004); PW (mm) 11.86 ± 0.270 vs. 10.92 ± 0.208(0.002); IVS (mm) 12.12 ± 0.348 vs. 10.95 ± 0.253 (0.002) respectively.Conclusion: In this study, was observed a favorable overall impact of renal transplantation on the structureand function of the heart, with a significant reduction in LVH and LVMI and systolic and diastolic functionof the left ventricle, thus reducing the risk of associated death to cardiovascular events.

Effects of Renal Transplantation on Cardiac Morphology and Function Luis Vernaza Hospital, Guayaquil, Ecuador: Kidney Transplant and Morphology and Cardiac Function