PMID- 14703197
OWN - NLM
STAT- MEDLINE
DCOM- 20040520
LR  - 20200109
IS  - 0896-8608 (Print)
IS  - 0896-8608 (Linking)
VI  - 23
IP  - 6
DP  - 2003 Nov-Dec
TI  - Blood pressure control and left ventricular hypertrophy in long-term CAPD and 
      hemodialysis patients: a cross-sectional study.
PG  - 563-7
AB  - BACKGROUND: It is still not clear whether hypertension and left ventricular 
      hypertrophy (LVH) are more common in continuous ambulatory peritoneal dialysis 
      (CAPD) than in hemodialysis (HD) patients. METHODS: To examine this subject, the 
      indices of cardiac performance were compared between 50 HD and 34 CAPD patients. 
      Patients were further divided into two subgroups [long-term (L) CAPD and L-HD] 
      according to dialysis modality and duration of dialysis (more than 60 months' 
      duration). RESULTS: The blood pressure and cardiothoracic index of CAPD patients 
      did not differ from HD patients. On average, the left atrial index was 2 mm/m2 
      higher in HD patients than in CAPD patients. Left ventricular chamber sizes, wall 
      thickness, and left ventricular mass index (LVMI) in patients on CAPD were 
      similar to those of HD patients. Isovolumic relaxation time (IVRT) of CAPD 
      patients was insignificantly less than that of HD patients (101 +/- 22 and 115 
      +/- 27 msec respectively). There was no significant difference between the two 
      subgroups (L-HD and L-CAPD) in blood pressure, left atrial diameter, left 
      ventricular chamber size, wall thickness, LVMI, ejection fraction, or IVRT. 
      CONCLUSION: If normovolemia and normotension are obtained by strict volume 
      control without using antihypertensive drugs, the effects of the two modalities 
      of chronic dialysis treatment (HD and CAPD) on cardiac structure and function are 
      not different from each other.
FAU - Gunal, Ali Ihsan
AU  - Gunal AI
AD  - Department of Nephrology, Firat University Medical School, Elazig, Turkey. 
      igunal@yahoo.com
FAU - Ilkay, Erdogan
AU  - Ilkay E
FAU - Kirciman, Ercan
AU  - Kirciman E
FAU - Karaca, Ilgin
AU  - Karaca I
FAU - Dogukan, Ayhan
AU  - Dogukan A
FAU - Celiker, Huseyin
AU  - Celiker H
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Perit Dial Int
JT  - Peritoneal dialysis international : journal of the International Society for 
      Peritoneal Dialysis
JID - 8904033
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Blood Pressure
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Hypertrophy, Left Ventricular/*etiology
MH  - Male
MH  - Middle Aged
MH  - Peritoneal Dialysis, Continuous Ambulatory/*adverse effects
MH  - Renal Dialysis/*adverse effects
MH  - Time Factors
EDAT- 2004/01/02 05:00
MHDA- 2004/05/21 05:00
CRDT- 2004/01/02 05:00
PHST- 2004/01/02 05:00 [pubmed]
PHST- 2004/05/21 05:00 [medline]
PHST- 2004/01/02 05:00 [entrez]
PST - ppublish
SO  - Perit Dial Int. 2003 Nov-Dec;23(6):563-7.