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The effect of dialysis type on left atrial functions in patients with end‐stage renal failure: A propensity score‐matched analysis
Author(s) -
Aksu Uğur,
Aksu Derya,
Gulcu Oktay,
Kalkan Kamuran,
Topcu Selim,
Aksakal Enbiya,
Aksakal Emrah,
Sevimli Serdar,
Tanboga Ibrahim Halil
Publication year - 2018
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13774
Subject(s) - medicine , hemodialysis , dialysis , peritoneal dialysis , propensity score matching , cardiology , volume overload , end stage renal disease , nephrology , heart failure
Introduction Despite the widespread use of both hemodialysis ( HD ) and peritoneal dialysis ( PD ), there is no study comparing the effects of these dialysis methods on the left atrial ( LA ) volume and functions. In this study, we investigated the impact of different dialysis methods on the LA volume and function in the patients exposed to chronic pressure overload and volume overload. Method This study was carried out on the patients who received dialysis treatment at our healthcare center between March, 2015 and January, 2016. Twenty‐eight patients receiving hemodialysis ( HD ) treatment and 24 patients under PD treatment were enrolled into the study. Patients were divided into 2 groups according to the dialysis therapy, and the atrial volumetric and mechanical functions were investigated. Results As the basal demographical characteristics of patients in the PD and HD groups were significantly different, 44 patients matched on a 1:1 basis were taken for final analysis (22 HD , 22 PD , and the average age of 42.4 ± 4.8; 73% was male). After propensity score matching analysis, it was determined that left atrial volume index ( LAV i) was higher in the HD group while peak LA strain and LA contraction strain were higher in the PD group. Additionally, both strain parameters showed a good negative correlation with LAV i. Conclusion We demonstrated that the left atrial structure and functions were better in the PD group suggesting that PD may be a relatively better option for the preservation and maintenance of the left atrial functions as compared to HD .