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001-es BibID:BIBFORM069806
Első szerző:Páll Alida (orvos)
Cím:The disparate effect of hemodialysis and hemodiafiltration on T-wave-peak-to-end interval (Tpe) and Tpe/QT ratio of the surface electrocardiogram / Páll Alida, Sebestyén Veronika, Czifra Árpád, Becs Gergely, Anupam Agarwal, Zarjou Abolfazl, Paragh György, Lőrincz István, Balla József, Szabó Zoltán
Dátum:2017
Megjegyzések:Aim: The prolongation of T-wave-peak-to-end interval (Tpe) and arrhythmogenic index (AIX) could predict arrhythmias. Developing of ventricular arrhythmias isincreased during hemodialysis (HD), but the effects of hemodiafiltration (HDF) on ventricular repolarization have not been elucidated yet.Methods: Thirty patients was investigated while they were receiving hemodiafiltration over a period of three months then the same group of patients was evaluatedduring treatment with hemodialysis for at least another three months. Ionic parameters, surface electrocardiograms (ECG), echocardiography, Holter ECGs wereperformed.Results: T-wave-peak-to-end interval and arrhythmogenic index significantly increased at the 240th minute of hemodialysis while did not change duringhemodiafiltration. No malignant ventricular arrhythmias occurred, but number of ventricular premature beats was significantly higher during hemodialysis ascompared to those during hemodiafiltration. Regarding hemodialysis a significant relationship was observed between the ratio of ventricular premature beats andarrhythmogenic index. Left ventricular mass index, septal-, posterior wall, inferior vena cava, left atrial diameters showed a positive correlation with T-wave-peakto-end interval only in the case of hemodialysis. A negative correlation occurred between the left ventricular ejection fraction, T-wave-peak-to-end interval andarrhythmogenic index, moreover between serum sodium and T-wave-peak-to-end interval, arrhythmogenic index during hemodialysis.Conclusions: Our results suggest that hemodialysis has unfavourable effect on the studied ECG parameters compared to hemodiafiltration.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Arrhythmias
repolarization
T wave
hemodialysis
hemodiafiltration
Megjelenés:Trauma and Emergency Care. - 2 : 4 (2017), p. 1-6. -
További szerzők:Borbásné Sebestyén Veronika (1990-) (biofizikus) Czifra Árpád (1983-) (belgyógyász) Becs Gergely Anupam Agarwal Zarjou, Abolfazl (1979-) (kutató orvos) Paragh György (1953-) (belgyógyász) Lőrincz István (1950-) (belgyógyász, kardiológus) Balla József (1959-) (belgyógyász, nephrológus) Szabó Zoltán (1973-) (belgyógyász, kardiológus)
Pályázati támogatás:TÁMOP-4.2.2.A-11/1/KONV-2012-0045
TÁMOP
TÁMOP-4.2.6-151-2015-0001
TÁMOP
Internet cím:DOI
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