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Table 3 Doppler findings obtained before and after ultrafiltration in hemodialysis patients according to their baseline left ventricular systolic function

From: Diagnosis of left ventricular diastolic dysfunction in the setting of acute changes in loading conditions

 

Preserved LV systolic function (n = 27)

Altered LV systolic function (n = 10)

Ultrafiltration (l)

3.0 ± 1.2

2.8 ± 0.9

Mean BP (mmHg)a

105 ± 10/97 ± 15b

95 ± 10c/89 ± 17

LVEDVI (ml/m2)a

66 ± 12/48 ± 14b

92 ± 41c/79 ± 41b

Cardiac index (L/min per m2)a

3.6 ± 0.9/3.1 ± 0.7b

2.9 ± 0.8c/2.6 ± 1.0

HR (beats/min)a

76 ± 12/78 ± 14

72 ± 13/74 ± 15

IVRT (ms)a

76 ± 13/97 ± 18b

95 ± 18c/128 ± 61b

Vmax E (cm/s)a

98 ± 25/73 ± 27b

81 ± 22/64 ± 22b

Vmax A (cm/s)a

99 ± 25/94 ± 31

92 ± 27/96 ± 28

E/A ratioa

1.03 ± 0.25/0.80 ± 0.24b

0.92 ± 0.25/0.69 ± 0.29b

DTE (ms)a

187 ± 42/273 ± 91b

211 ± 90/234 ± 86

Vmax S (cm/s)a

64 ± 11/62 ± 12

47 ± 16c/50 ± 16

Vmax D (cm/s)a

57 ± 15/46 ± 10b

36 ± 5c/33 ± 9

S/D ratioa

1.17 ± 0.28/1.39 ± 0.30

1.31 ± 0.41/1.53 ± 0.32b

Vmax E' septal (cm/s)a

7.7 ± 2.4/6.2 ± 1.5

5.6c ± 2.0/5.0 ± 2.0

Vmax E' lateral (cm/s)a

9.5 ± 2.9/8.8 ± 2.5

7.2 ± 2.9/7.0 ± 2.8

Vp (cm/s)a

48 ± 8/44 ± 9

35 ± 11c/31 ± 17

E/E' laterala

11 ± 5/9 ± 4b

13 ± 8/12 ± 7

E/E' septala

14 ± 6/12 ± 5b

15 ± 5/14 ± 6

E/Vpa

2.1 ± 0.6/1.7 ± 0.6

2.6 ± 0.7c/2.3 ± 0.8

  1. aValues are expressed as before/after haemodialysis. bP < 0.05 versus baseline. cP < 0.05 versus patients with preserved LV systolic function, defined as a LV ejection fraction ≥ 50% (Mann-Whitney test). BP, blood pressure; DTE, E wave deceleration time; HR, heart rate; IVRT, isovolumic relaxation time; LV, left ventricular; LVEDVI, left ventricular end-diastolic volume index; Vmax, maximal velocity; Vp, propagation velocity.