The prognostic value of left ventricular global peak systolic longitudinal strain in chronic peritoneal dialysis patients
Journal
IJC Heart and Vasculature
Journal Volume
5
Pages
1-8
Date Issued
2014
Author(s)
Liu Y.-W.
Tseng C.-C.
Chang Y.-T.
Chen J.-Y.
Chen L.-Y.
Tsai L.-M.
Chen J.-H.
Wang M.-C.
Tsai W.-C.
Abstract
BACKGROUND: Although left ventricular (LV) global systolic longitudinal strain (GLS) reliably and accurately assesses LV systolic function and is also a powerful prognostic predictor, the importance and prognostic value of GLS in end-stage renal disease patients receiving maintenance peritoneal dialysis (PD) remain unclear. This study sought to determine the prognostic value of GLS in chronic PD patients. METHODS: This prospective study collected clinical and echocardiographic data from 106 stable PD patients (50.0 ± 13.9 years, 45% male) in a dialysis unit of a university hospital. These patients were enrolled from April 2010 to June 2010 and followed until August 2013 (follow-up duration 30.3 ± 14.3 months). The primary outcomes were the presence of major adverse events (MAEs), defined as all-cause mortality, and major adverse cardiovascular cerebral events (MACCEs), i.e. cardiovascular death, cardiac hospitalization, and stroke. RESULTS: of the predictive power, GLS was found to add prognostic information to a model based on traditional risk factors. CONCLUSION: GLS ≥ - 15% provided additional prognostic information that allowed for the early identification of high-risk PD patients.
SDGs
Publisher
Elsevier Ireland Ltd
Type
journal article