摘要
Abstract
Aim To determine whether the degree of carotid atherosclerosis is associated with left ventricular hypertrophy(LVH) in maintenance bemedialysis(MHD) patients. Methods Thirty-six MHD patients were included in this study. Their biochemical parameters, including C-reactive protein before hemodialysis, ereatinine, blood urea ni-trogen ( BUN ), total cholesterol, haemoglobin, plasma albumin, calcium, phosphorus and parathormone were examined by routine methods. The anatomy, hemodynamies, atheromatons plaque and intima media thickness ( IMT ) of bilateral ca-rotid artery, carotid bifuracation and carotid internal artery were measured by color Doppler. The left ventricular end-di-astolic dimension, left atrium diameter, interventricular septum thickness at end diastole, left ventfieular posterior wall thickness at end diastole, right ventricular outflow tract diameter, right ventrieular diameter, stroke volume, cardiac output and left ventricular ejection fraction were also detected by ultrasonic cardiography. The left ventricular mass index was calculated as well. Results The plaque-positive was detected in 24 of the patients ( 67% ). The plaque-positive patients had elder age, longer dialysis time, more C-reactive protein, lower plasma albumin ( P < 0.05 ). And the plaque-positive patients had higher intima media thickness of carotid, interventricular septum thickness at end diastole and left ven-trictdar mass index. Conclusion The carotid atherosclerosis is associated with LVH in MHD patients. Whether the treatment of atheroselerosis may cause regression or even prevent LVH in MHD patients remains to elucidate.关键词
动脉粥样硬化/左心室肥厚/维持性血液透析Key words
Atherosclerosis/Left Ventricular Hypertrophy/Maintenance Hemodialysis分类
医药卫生
