Nghiên cứu rối loạn chức năng thất trái bằng siêu âm doppler tim ở bệnh nhân suy thận mạn giai đoạn cuối diều trị lọc màng bụng

Introduction and objective: Cardio-vascular disorders contribute to mortality in patients suffering end stage kidney disease with peritoneal dialysis. Objectives: 1/ to determine the rate of left ventricular systolic dysfunction and left ventricular diastolic disfunction in endstage chronic renal failure patients treated by CAPD; 2/ to evaluate the correlation between left ventricular systolic dysfunction and left ventricular diastolic disfunction. Patients and methods: 30 ESRD patients treated by CAPD at Department of NephrologyHue central Hospital were selected for this study from 1/2010 to 6/2011. The design of the study was a cross-sectional design. Results: Stydying left ventricular function in 30 hemodialysis patients in Hue central Hospital by Echo-Doppler, the authors found 53.33 percent of cases with left ventricular systolic dysfunction and 56.67 percent of such patients with left ventricular diastolic dysfunction. Most of these cases (88.23 percent) had mixed dysfunction. There were relations between left ventricular dysfunction and anemia (Hemoglobinemia), between left ventricular dysfunction and the time of treatement by hemodialysis, but it was not related to hypertension. Conclusion: 53.33 percent of cases with left ventricular systolic dysfunction and 56.67 percent of such patients with left ventricular diastolic dysfunction and there are relations between left ventricular dysfunction and anemia.