Noninvasive Left Ventricular Pressure‐Strain Loop for Assessment of Myocardial Work in Hemodialysis in Patients With Chronic Kidney Disease
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| Formato: | Artículo Open Access |
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Wiley
2025
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| _version_ | 1867007468973850624 |
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| author | Yunxiang Miao Lin Fan Bingyuan Zhou Yuping Liao Ying Yin |
| author_facet | Yunxiang Miao Lin Fan Bingyuan Zhou Yuping Liao Ying Yin Yunxiang Miao Lin Fan Bingyuan Zhou Yuping Liao Ying Yin |
| collection | Wiley Open Access |
| contents | Noninvasive Left Ventricular Pressure‐Strain Loop for Assessment of Myocardial Work in Hemodialysis in Patients With Chronic Kidney Disease Yunxiang Miao Lin Fan Bingyuan Zhou Yuping Liao Ying Yin Echocardiography ABSTRACTObjectiveTo explore the value of a novel echocardiographic measure—left ventricular pressure‐strain loop (LV‐PSL) for assessment of patients with chronic kidney disease by comparing the changes before and after hemodialysis (HD).MethodsA total of 117 patients undergoing regular hemodialysis were recruited. Global longitudinal strain (GLS) combined with cuff blood pressure measurement is used to calculate the global work index (GWI), global constructive work (GCW), global wasted work (GWW), and global work efficiency (GWE). The differences in echocardiographic parameters before and after hemodialysis on the same day were compared. Additionally, 50 healthy individuals were included as the control group.ResultsCompared with the control group, both the pre‐HD and post‐HD groups exhibited significantly lower GLS and GWE (pre‐HD: p = 0.006 and p = 0.000, respectively; post‐HD: p = 0.000 and p = 0.000, respectively). In contrast, the pre‐HD group had significantly higher values in PSD, GWI, GCW, and GWW (p = 0.000 for PSD and GWW; p = 0.001 for GWI and GCW). Notably, the post‐HD group also had higher values in PSD and GWW compared to the control group (p = 0.000 for both), while no significant differences were observed in GWI and GCW between the post‐HD and control groups (p = 0.247 and p = 0.134, respectively).ConclusionsThe LV‐PSL parameters are capable of effectively assessing myocardial work in HD patients. Moreover, these parameters offer novel reference indicators for evaluating volume load and left ventricular myocardial function in HD patients. 10.1111/echo.70243 http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| doi_str_mv | 10.1111/echo.70243 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_echo_70243 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| publishDate | 2025 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Noninvasive Left Ventricular Pressure‐Strain Loop for Assessment of Myocardial Work in Hemodialysis in Patients With Chronic Kidney Disease Yunxiang Miao Lin Fan Bingyuan Zhou Yuping Liao Ying Yin Echocardiography Noninvasive Left Ventricular Pressure‐Strain Loop for Assessment of Myocardial Work in Hemodialysis in Patients With Chronic Kidney Disease Yunxiang Miao Lin Fan Bingyuan Zhou Yuping Liao Ying Yin Echocardiography ABSTRACTObjectiveTo explore the value of a novel echocardiographic measure—left ventricular pressure‐strain loop (LV‐PSL) for assessment of patients with chronic kidney disease by comparing the changes before and after hemodialysis (HD).MethodsA total of 117 patients undergoing regular hemodialysis were recruited. Global longitudinal strain (GLS) combined with cuff blood pressure measurement is used to calculate the global work index (GWI), global constructive work (GCW), global wasted work (GWW), and global work efficiency (GWE). The differences in echocardiographic parameters before and after hemodialysis on the same day were compared. Additionally, 50 healthy individuals were included as the control group.ResultsCompared with the control group, both the pre‐HD and post‐HD groups exhibited significantly lower GLS and GWE (pre‐HD: p = 0.006 and p = 0.000, respectively; post‐HD: p = 0.000 and p = 0.000, respectively). In contrast, the pre‐HD group had significantly higher values in PSD, GWI, GCW, and GWW (p = 0.000 for PSD and GWW; p = 0.001 for GWI and GCW). Notably, the post‐HD group also had higher values in PSD and GWW compared to the control group (p = 0.000 for both), while no significant differences were observed in GWI and GCW between the post‐HD and control groups (p = 0.247 and p = 0.134, respectively).ConclusionsThe LV‐PSL parameters are capable of effectively assessing myocardial work in HD patients. Moreover, these parameters offer novel reference indicators for evaluating volume load and left ventricular myocardial function in HD patients. 10.1111/echo.70243 http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| title | Noninvasive Left Ventricular Pressure‐Strain Loop for Assessment of Myocardial Work in Hemodialysis in Patients With Chronic Kidney Disease |
| topic | Echocardiography |
| url | https://onlinelibrary.wiley.com/doi/10.1111/echo.70243 |