Abstract
Cardiac involvement is very frequent in patients with chronic kidney disease on dialysis. Kidney transplantation results in reducing morbidity and mortality compared to patients on dialysis. The objective of this review was to address the effect of renal transplantation in cardiac structure and function assessed by echocardiography. Since the 1980s, studies have demonstrated a trend towards improvement in cardiac parameters after kidney transplantation. With the improvement of the Doppler imaging methods, the new studies, although with conflicting results, demonstrated improvement in systolic and diastolic function and reduction of left ventricular mass, especially in the first two years after renal transplantation with stabilization of the parameters in subsequent years. Overall, the body of evidence has demonstrated significant impact of renal transplantation on left ventricular hypertrophy, systolic and diastolic function, but the results are not uniform.
Highlights
Efeito do transplante renal na morfologia e função cardíacaAuthors Francival Leite de Souza[1,2] Francisco das Chagas Monteiro Junior[2] Natalino Salgado Filho1 1Universidade Federal do Maranhão – UFMA. 2Hospital Universitário da UFMA
Cardiac structural and functional impairment is very frequent in patients with chronic renal disease (CRD), those on dialysis
According to Foley et al.,[1] approximately 73.4% of CRD patients who are started on dialysis present left ventricle hypertrophy (LVH), 35.8% have left ventricle (LV) dilatation and 14.8% have reduced LV shortening fraction, cardiac abnormalities which are progressive, during the first year on dialysis.[2]
Summary
Authors Francival Leite de Souza[1,2] Francisco das Chagas Monteiro Junior[2] Natalino Salgado Filho1 1Universidade Federal do Maranhão – UFMA. 2Hospital Universitário da UFMA.
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