Can Echocardiography, Especially Tricuspid Annular Plane Systolic Excursion Measurement, Predict Pulmonary Hypertension and Improve Prognosis in Patients on Long-Term Dialysis?

Overview

Journal Med Sci Monit

Specialties General Medicine
Pathology

Date 2015 Dec 25

PMID 26697754

Citations 3

Authors

Radoslaw Grabysa

Zofia Wankowicz

Affiliations

Soon will be listed here.

Abstract

In recent years, increasing attention has been paid to pulmonary hypertension (PH) as a strong and independent risk factor for adverse outcome in the population of patients on long-term dialysis. Published results of observational studies indicate that the problem of PH refers mostly to patients on long-term hemodialysis and is less common in peritoneal dialysis patients. The main cause of this complication is proximal location of the arteriovenous fistula, causing chronically increased cardiac output. This paper presents the usefulness of transthoracic echocardiography (TTE) for measurement of the Tricuspid Annular Plane Systolic Excursion (TAPSE) in the early diagnosis of PH in dialysis patients. Echocardiographic diagnosis of pulmonary hypertension with TTE, especially in the case of HD patients, ensures the selection of the proper location for the first arteriovenous fistula and facilitates the decision to switch to peritoneal dialysis or to accelerate the process of qualification for kidney transplantation.

Citing Articles

The Role of Echocardiography in the Diagnosis and Prognosis of Pulmonary Hypertension.

Kadoglou N, Khattab E, Velidakis N, Gkougkoudi E, Myrianthefs M J Pers Med. 2024; 14(5).

PMID: 38793056 PMC: 11122427. DOI: 10.3390/jpm14050474.

A longitudinal study of cardiac structure and function using echocardiography in patients undergoing peritoneal dialysis.

Zhu Y, Zhang D, Hu X, Liu H, Xu Y, Hou H BMC Nephrol. 2021; 22(1):342.

PMID: 34656084 PMC: 8520263. DOI: 10.1186/s12882-021-02535-3.

Repair or Replacement for Isolated Tricuspid Valve Pathology? Insights from a Surgical Analysis on Long-Term Survival.

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PMID: 28236633 PMC: 5338566. DOI: 10.12659/msm.900841.

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