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Evaluation of Left Ventricular Function by Three-Dimensional Speckle-Tracking Echocardiography in Patients with chronic kidney failure

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Current Medical Science 2022年第4期42卷 895-901页

作者： Yu-bo WANG Hui HUANG Shan LIN Mei-jia HAO Lu-jiao HE Kun LIU Xiao-jun BI Department of Ultrasound Third People's Hospital of Hubei ProvinceJianghan UniversityWuhan 430033China Department of Ultrasound Maternal and Child Health Hospital of Hubei ProvinceTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430070China Department of Ultrasound Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China

Objective:To establish a quantitative evaluation of the left ventricle's systolic function in patients with chronic kidney failure(CKF)by three-dimensional speckle-tracking ***:Two-dimensional and three-dimensional transthoracic echocardiography was performed on 30 patients with *** ejection fraction,mass and global peak longitudinal strain,global circumferential strain,global area strain,and global radial strain of the left ventricle were ***:The ejection fraction,mass and global peak longitudinal strain(GLS),global circumferential strain(GCS),global area strain(GAS),and global radial strain(GRS)in the CKF group were significantly lower than those in the control ***,the GLS,GCS,GAS and GRS were well correlated with the ejection *** patients with normal ejection fraction in the CKF group,the GLS,GCS,GAS and GRS were lower than those in the control group,while the left ventricular mass was significantly higher in CKF patients than in the control *** patients with hypertension in the CKF group,ejection fraction,GLS,GCS,GAS and GRS calculated using three-dimensional echocardiography were significantly lower than those in patients with normal blood pressure;however,the myocardial mass was ***:The parameters(GLS,GCS,GAS and GRS)calculated using three-dimensional speckle-tracking software were lower in the CKF ***,the left ventricular mass was higher in CFK patients than in the control group,thus showing that the myocardial contraction function was impaired and that myocardial remodeling had occurred.

关键词： three-dimensional speckle-tracking echocardiography left ventricle ejection fraction strain chronic kidney failure

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High flux hemodialysis in elderly patients with chronic kidney failure

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World Journal of Clinical Cases 2020年第11期8卷 2144-2149页

作者： Hai-Yan Xue Bin Duan Zhen-Jiang Li Peng Du Dialysis Center The Fourth People’s Hospital of ShaanxiXi’an 710043Shaanxi ProvinceChina Department of kidney Diseases Dialysis CenterShaanxi Provincial People’s HospitalXi’an 710068Shaanxi ProvinceChina

BACKGROUND Hemodialysis is an advanced blood purification technique to manage kidney ***,for conventional hemodialysis,the high prevalence of dyslipidemia may cause cardiovascular diseases and an increase in ***,toxins accumulating in the body over time may induce some *** flux hemodialysis can effectively improve disease indexes and clinical *** To investigate the efficacy of high flux hemodialysis in elderly patients with chronic kidney failure(CKF).METHODS A total of 66 elderly patients with CKF who were admitted to our hospital from October 2017 to October 2018 were included in the *** to the therapies they received,the patients were divided into a study group and a control group with 33 patients in each *** study group received high flux hemodialysis and the control group received conventional dialysis *** function,toxin levels in serum,and complications were compared in the two *** Before the treatment,there was no significant difference in kidney function,β2-microglobulin,or blood urea nitrogen between the two groups(P>0.05).In contrast,kidney function was better in the study group than in the control group after the treatment(Pkidney function and reduce toxin levels in serum and the incidence of complications in elderly patients with CKF.

关键词： Elderly patients chronic kidney failure High flux Hemodialysis

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A Chinese Multi-Specialty Delphi Consensus to Optimize RAASi Usage and Hyperkalaemia Management in Patients with chronic kidney Disease and Heart failure

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Chinese Medical Sciences Journal 2024年第2期39卷 79-90页

作者： Ming-Hui Zhao Wei Chen Hong Cheng Bi-Cheng Liu Zhi-Guo Mao Zhuang Tian Gang Xu Jing-Min Zhou Renal Division Peking University First HospitalBeijing 100034China Department of Nephrology The First Affiliated HospitalSun Yat-Sen UniversityGuangzhou 510080China Department of Nephrology Capital Medical UniversityBeijing 100029China Department of Nephrology Southeast University Zhongda HospitalNanjing 210009China Department of Nephrology Shanghai Changzheng HospitalShanghai 200003China Department of Cardiology Peking Union Medical College HospitalBeijing 100730China Renal Division Tongji Medical College of Huazhong University of Science and TechnologyWuhan 430030China Department of Cardiology Zhongshan HospitalFudan UniversityShanghai 200032China

Objective Variations are present in common clinical practices regarding best practice in managing hyperkalaemia(HK),there is therefore a need to establish a multi-specialty approach to optimal renin angiotension-aldosterone system inhibitors(RAASi)usage and HK management in patients with chronic kidney disease(CKD)&heart failure(HF).This study aimed to establish a multi-speciality approach to the optimal use of RAASi and the management of HK in patients with CKD and *** A steering expert group of cardiology and nephrology experts across China were convened to discuss challenges to HK management through a nominal group *** group then created a list of 41 statements for a consensus questionnaire,which was distributed for a further survey in extended panel group of cardiologists and nephrologists across *** was assessed using a modified Delphi technique,with agreement defined as"strong"(≥75%and<90%)and"very strong"(≥90%).The steering group,data collection,and analysis were aided by an independent *** A total of 150 responses from 21 provinces across China were recruited in the *** were comprised of an even split(n=75,50%)between cardiologists and *** 41 statements achieved the 75%consensus agreement threshold,of which 27 statements attained very strong consensus(≥90%agreement)and 14 attained strong consensus(agreement between 75%and 90%).Conclusion Based on the agreement levels from respondents,the steering group agreed a set of recommendations intended to improve patient outcomes in the use of RAASi therapy and HK management in China.

关键词： Sardiorenal syndrome chronic kidney failure heart failure hyperkalemia multidisciplinary communication RAASi

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Frequency of the Cardiovascular Complications during the chronic Renal Insufficiency with the Service of Nephrology of the National Hospital Donka

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World Journal of Cardiovascular Diseases 2020年第7期10卷 425-431页

作者： Fousseny Diakité Mamadou Saliou Baldé Ibrahima Sory Barry Moussa Traoré Alpha Boubacar Bah Fenela Mipimbou Mohamed Lamine Kaba Alpha Oumar Bah Unit of Nephrology-Hemodialysis of the National Hospital Donka Guinea Unit of Cardiology of the National Hospital Ignace Deen Guinea

Introduction: Cardiovascular disease has become a major concern for the nephrologist as it is the leading cause of morbidity and mortality in patients with chronic kidney disease, and affects all stages of the disease, including the earliest stages of the disease. The goal of this work was to determine the frequency of cardiovascular complications during chronic kidney failure. Patients and methods: This was a six-month, descriptive cross-sectional study from March 01 to August 31, 2018. It covered all patients with chronic kidney disease hospitalized in the ward during the study period. Included were all chronic kidney failure patients with at least one cardiac and/or vascular complication diagnosed either on clinical examination, and/or paraclinical examination (Electrocardiogram or cardiac ultrasound, vessel echodoppler, scan). Results: During the study period, 84 out of 378 patients or 22.22% had at least one cardiovascular complication. Cardiovascular complications were hypertrophy of the left ventricle with 49/84 (44 at Electrocardiogram and 5 at cardiac echodoppler), valvulopathy with 33.33%, stroke with 50% of cases, obliterating arterial disease of the lower limbs 25%, hypokinetic dilated cardiomyopathy with 9/36 cases and pericarditis with 2/36. Conclusion: Cardiovascular complications affect both sexes and all ages. They were dominated by enlarged left ventricle, valvulopathy and dila

关键词： Cardiovascular Complications chronic kidney failure Donka Conakry

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Effects of mindfulness meditation on trait mindfulness,perceived stress,emotion regulation,and quality of life in hemodialysis patients:A randomized controlled trial

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International Journal of Nursing Sciences 2022年第2期9卷 139-146,I0002页

作者： Hossam Alhawatmeh Sami Alshammari Jehad A.Rababah College of Nursing Jordan University of Science and TechnologyIrbidJordan

Objective:This study aimed to examine the effects of mindfulness meditation on trait mindfulness,perceived stress,emotion regulation,and quality of life in end-stage renal disease patients undergoing ***:An experimental study with repeated measures design was conducted among a sample of 74 end-stage renal disease patients undergoing hemodialysis between January and May 2021 in the dialysis center at Jahra hospital,*** patients were randomly assigned to the experimental(n?37)and control groups(n?37).The experimental group participated in 30-min mindfulness meditation sessions(three sessions a week for five weeks)held during their hemodialysis sessions;the participants in the control group were instructed to sit with their eyes closed and relaxed for 30 min three times a week for five weeks during hemodialysis *** dependent variables of both groups were measured at baseline(T0),middle of intervention(T1),and end of intervention(T2)using the Mindful Attention Awareness Scale(MAAS),Perceived Stress Scale(PSS),Emotion Regulation Questionnaire(ERQ),and kidney Disease Quality of Life(KDQOL-36)*** study was registered in the ***(Identifier:NCT05176730).Results:The repeated measures ANOVA(within-subject)results for the experimental group showed that mindfulness meditation had significantly decreased perceived stress by the end of the ***,mindfulness meditation improved mindfulness,emotion regulation,and kidney disease-related quality of life in the experimental group,and this improvement occurred significantly at both T1 and *** repeated measures ANOVA(within and between-subject)results showed that the experimental group,as compared to the control group,had lower perceived stress,higher trait mindfulness,higher emotional regulation,and higher kidney disease-related quality of life over ***:The positive findings of this study offer health policy-makers and hospital administrators a prom

关键词： chronic kidney failure Emotional regulation Meditation Mindfulness Psychological stress Quality of life Renal dialysis kidney diseases

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Practice Patterns and Adequacy of Maintenance Hemodialysis in Rio Grande, RS, Brazil

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Open Journal of Nephrology 2020年第2期10卷 102-116页

作者： Luiz Eduardo Corrê a Schein Juraci Almeida Cesar Faculty of Medicine Federal University of Rio Grande Rio Grande Brazil Postgraduate Program in Health Sciences Faculty of Medicine Federal University of Rio Grande Rio Grande Brazil

Introduction: Hemodialysis is the most common end-stage renal disease treatment worldwide. Several factors may influence treatment outcomes. Adequacy (dose) of hemodialysis remains controversial;however, investigations on the effectiveness rate (Kt/V ≥ 1.2), which could reflect morbimortality, are preferred. Objective: This study aimed to describe the level of adequacy of hemodialysis among patients undergoing treatment in the city of Rio Grande (RS), Brazil. Method: In this prospective cohort study, 156 patients undergoing hemodialysis treatment between July 2016 and June 2017 in the two hemodialysis centers in the city of Rio Grande (RS), Brazil, were included. Frequency distribution as per Kt/V stratification was analyzed. Chi-square test was used to compare proportions. Results: Adequate hemodialysis (Kt/V ≥ 1.2) was observed in 105 patients (67%), 88% were from the municipality (mean age, 59 years), and 43% had visited the hospital before knowing about their kidney disease. Most of them were referred to a nephrologist (70%). Of the 156 patients, 114 patients (73%) remained in dialysis treatment, 10 (6%) underwent transplantation, 9 (6%) were transferred, and 23 (15%) died at the end of 12 months. Conclusion: Primary care should be expanded for early diagnosis of chronic kidney disease, improved venous access preparation, and increased number of patients with hemodialysis adequacy. Hemodialysis adequacy in patients undergoing treatment in the city of Rio Grande (RS), Brazil, needs to be improved.

关键词： chronic kidney failure Hemodialysis Quality Control Hemodialysis Adequacy Arteriovenous Fistula

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