Premium
Comparative effects of renal transplantation and maintenance dialysis on arterial stiffness and left ventricular mass index
Author(s) -
Keven Kenan,
Calayoglu Reyhan,
Sengul Sule,
Dincer Irem,
Kutlay Sim,
Erturk Sehsuvar,
Erbay Bulent,
Nergizoglu Gokhan
Publication year - 2008
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/j.1399-0012.2008.00794.x
Subject(s) - medicine , arterial stiffness , pulse wave velocity , cardiology , left ventricular hypertrophy , transplantation , dialysis , hemodialysis , population , prospective cohort study , end stage renal disease , body mass index , blood pressure , environmental health
Background: Arterial stiffness and left ventricular hypertrophy (LVH) are major independent risk factors for cardiovascular disease in healthy and renal population. In this study, we aimed to investigate comparative long‐term effects of renal transplantation (RTx) and of hemodialysis (HD) on both arterial stiffness and LVH. Methods: Twenty‐eight RTx patients, 23 HD patients, and 20 healthy subjects were included in this prospective study. In addition to demographical and laboratory parameters, arterial stiffness [pulse wave velocity (PWV)] and left ventricular mass index (LVMi) were assessed before and one‐yr after RTx, and at the baseline and one‐yr later in HD patients. Results: There were no differences in the parameters between HD and RTx patients at baseline. PWV was significantly higher than that of healthy controls. After one yr, PWV had significantly decreased in RTx patients, but was unchanged in HD patients. Changes in PWV were significant when both groups were compared (p < 0.0001). Although LVMi significantly decreased after RTx (p = 0.02), changes were not significant between the groups. Conclusions: Renal transplantation markedly improved arterial stiffness, while it remained elevated in HD patients at the one‐yr follow‐up. There was no difference between maintenance HD and RTx groups with respect to impact on LVMi in the one‐yr follow‐up.