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불응성 심부전증 환자에서 복막투석의 유용성
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 이정은 | - |
dc.contributor.author | 이한성 | - |
dc.contributor.author | 최훈영 | - |
dc.contributor.author | 한대석 | - |
dc.contributor.author | 한승혁 | - |
dc.contributor.author | 강신욱 | - |
dc.contributor.author | 김승준 | - |
dc.contributor.author | 박선영 | - |
dc.contributor.author | 오형중 | - |
dc.contributor.author | 유동은 | - |
dc.date.accessioned | 2015-06-10T13:09:57Z | - |
dc.date.available | 2015-06-10T13:09:57Z | - |
dc.date.issued | 2006 | - |
dc.identifier.issn | 1225-0015 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/111129 | - |
dc.description.abstract | Background: Though PD has served as a treatment method for metabolic derangement in acute or chronic renal failure, it has also been used as a palliative therapy or as a bridge to definite surgery or transplantation in patients with RHF. Some studies have demonstrated that PD reduced hospitalization rates and improved functional capacity in these patients, but changes in echocardiographic findings after PD have not been thoroughly explored. In this study, the effects of PD on hospitalization rates and days, functional status, and echocardiographic parameters were evaluated. Methods: Thirteen patients, in whom PD was performed to treat heart failure, were enrolled. Patients with serum creatinine levels more than 3.0 mg/dL and with acute cardiac event within 1 month before the start of PD were excluded. The clinical, laboratory, and echocardiographic findings before and after the start of PD were compared by carrying out a paired t-test or Wilcoxon signed rank test. Results: Among 13 patients, 11 patients experienced improvement in functional status after the initiation of PD, and the mean NYHA class improved from 3.5±0.5 to 2.3±0.9 after PD treatment (p<0.005). Significant reductions in hospitalization rates (from 1.7±0.4 to 0.2±0.4 episodes/patient-year, p<0.001) and in hospitalization days (from 62.1±26.5 to 3.8±8.9 days/patient-year, p<0.001) were also observed since the start of PD. Echocardiographic findings revealed that right ventricular pressure was significantly reduced in both right-sided and left-sided heart failure patients (p<0.05), whereas there were no significant changes in left ventricular end-diastolic diameter and left ventricular ejection fraction after PD therapy. Conclusion: PD treatment improved quality of life, shortened hospitalization period, and reduced right ventricular pressure in patients with RHF. These findings suggest that PD should be considered as an alternative therapeutic modality for RHF. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 991~998 | - |
dc.relation.isPartOf | Korean Journal of Nephrology (대한신장학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 불응성 심부전증 환자에서 복막투석의 유용성 | - |
dc.title.alternative | Usefulness of Peritoneal Dialysis (PD) in Patients with Refractory Heart Failure (RHF) | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | 유동은 | - |
dc.contributor.googleauthor | 김승준 | - |
dc.contributor.googleauthor | 박선영 | - |
dc.contributor.googleauthor | 오형중 | - |
dc.contributor.googleauthor | 이한성 | - |
dc.contributor.googleauthor | 이정은 | - |
dc.contributor.googleauthor | 최훈영 | - |
dc.contributor.googleauthor | 한승혁 | - |
dc.contributor.googleauthor | 한대석 | - |
dc.contributor.googleauthor | 강신욱 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03277 | - |
dc.contributor.localId | A04226 | - |
dc.contributor.localId | A04272 | - |
dc.contributor.localId | A04304 | - |
dc.contributor.localId | A00053 | - |
dc.contributor.localId | A02417 | - |
dc.contributor.localId | A02461 | - |
dc.contributor.localId | A00659 | - |
dc.contributor.localId | A03119 | - |
dc.contributor.localId | A01499 | - |
dc.relation.journalcode | J02066 | - |
dc.subject.keyword | Heart failure | - |
dc.subject.keyword | Peritoneal dialysis | - |
dc.subject.keyword | Quality of life | - |
dc.subject.keyword | Right ventricular pressure | - |
dc.contributor.alternativeName | Lee, Jung Eun | - |
dc.contributor.alternativeName | Lee, Han Sung | - |
dc.contributor.alternativeName | Choi, Hoon Young | - |
dc.contributor.alternativeName | Han, Dae Suk | - |
dc.contributor.alternativeName | Han, Seung Hyeok | - |
dc.contributor.alternativeName | Kang, Shin Wook | - |
dc.contributor.alternativeName | Kim, Seung Jun | - |
dc.contributor.alternativeName | Park, Sun Young | - |
dc.contributor.alternativeName | Oh, Hyung Jung | - |
dc.contributor.alternativeName | Yoo, Dong Eun | - |
dc.contributor.affiliatedAuthor | Lee, Han Sung | - |
dc.contributor.affiliatedAuthor | Choi, Hoon Young | - |
dc.contributor.affiliatedAuthor | Han, Dae Suk | - |
dc.contributor.affiliatedAuthor | Han, Seung Hyeok | - |
dc.contributor.affiliatedAuthor | Kang, Shin Wook | - |
dc.contributor.affiliatedAuthor | Oh, Hyung Jung | - |
dc.contributor.affiliatedAuthor | Yoo, Dong Eun | - |
dc.contributor.affiliatedAuthor | Kim, Seung Jun | - |
dc.contributor.affiliatedAuthor | Lee, Jung Eun | - |
dc.contributor.affiliatedAuthor | Park, Sun Young | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 25 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 991 | - |
dc.citation.endPage | 998 | - |
dc.identifier.bibliographicCitation | Korean Journal of Nephrology (대한신장학회지), Vol.25(6) : 991-998, 2006 | - |
dc.identifier.rimsid | 39390 | - |
dc.type.rims | ART | - |
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