Geometric models of left ventricular remodeling in patients with predialysis stages of chronic kidney disease


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Abstract

Aim. Study of prevalence of various types of cardiac remodeling in patients with predialysis stages of chronic kidney disease (CKD). Methods. 123 patients with chronic kidney disease stage II - IV were included into the study. Prevalence of pathological types of cardiac remodeling was assessed and echocardiographical description of structural modification of left ventricle was performed. Resulys. Structural remodeling of left ventricle was found in 31% of patients with predialysis chronic kidney disease. Most frequently (in і7,8% of patients) eccentric remodeling of left ventricle was found. Left ventricular end diastolic size (5,56±0,09 SM) and end diastolic volume (152,4±5,7 ml) were highest in patients with eccentric remodeling of left ventricle. Conclusion. Almost one third of patients with predialysis chronic renal failure demonstrate echocardiographic signs of left ventricular remodeling.

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