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Predictive Value of Echocardiographic Abnormalities and the Impact of Diastolic Dysfunction on In-hospital Major Cardiovascular Complications after Living Donor Kidney Transplantation
DC Field | Value | Language |
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dc.contributor.author | 김소연 | - |
dc.contributor.author | 김은정 | - |
dc.contributor.author | 장수연 | - |
dc.contributor.author | 최용선 | - |
dc.contributor.author | 허규하 | - |
dc.date.accessioned | 2017-10-26T07:09:22Z | - |
dc.date.available | 2017-10-26T07:09:22Z | - |
dc.date.issued | 2016 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/151674 | - |
dc.description.abstract | Patients with end-stage renal disease (ESRD) show characteristic abnormalities in cardiac structure and function. We evaluated the influence of these abnormalities on adverse cardiopulmonary outcomes after living donor kidney transplantation in patients with valid preoperative transthoracic echocardiographic evaluation. We then observed any development of major postoperative cardiovascular complications and pulmonary edema until hospital discharge. In-hospital major cardiovascular complications were defined as acute myocardial infarction, ventricular fibrillation/tachycardia, cardiogenic shock, newly-onset atrial fibrillation, clinical pulmonary edema requiring endotracheal intubation or dialysis. Among the 242 ESRD study patients, 9 patients (4%) developed major cardiovascular complications, and 39 patients (16%) developed pulmonary edema. Diabetes, ischemia-reperfusion time, left ventricular end-diastolic diameter (LVEDd), left ventricular mass index (LVMI), right ventricular systolic pressure (RVSP), left atrium volume index (LAVI), and high E/E' ratios were risk factors of major cardiovascular complications, while age, LVEDd, LVMI, LAVI, and high E/E' ratios were risk factors of pulmonary edema. The optimal E/E' cut-off value for predicting major cardiovascular complications was 13.0, showing 77.8% sensitivity and 78.5% specificity. Thus, the patient's E/E' ratio is useful for predicting in-hospital major cardiovascular complications after kidney transplantation. We recommend that goal-directed therapy employing E/E' ratio be enacted in kidney recipients with baseline diastolic dysfunction to avert postoperative morbidity | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.language | English | - |
dc.publisher | Ivyspring International Publisher | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF MEDICAL SCIENCES | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Cardiovascular Diseases/diagnosis* | - |
dc.subject.MESH | Cardiovascular Diseases/diagnostic imaging | - |
dc.subject.MESH | Cardiovascular Diseases/etiology | - |
dc.subject.MESH | Cardiovascular Diseases/physiopathology | - |
dc.subject.MESH | Echocardiography, Doppler | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Heart Failure, Diastolic/diagnosis* | - |
dc.subject.MESH | Heart Failure, Diastolic/diagnostic imaging | - |
dc.subject.MESH | Heart Failure, Diastolic/etiology | - |
dc.subject.MESH | Heart Failure, Diastolic/physiopathology | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Kidney Failure, Chronic/complications | - |
dc.subject.MESH | Kidney Failure, Chronic/diagnosis | - |
dc.subject.MESH | Kidney Failure, Chronic/diagnostic imaging | - |
dc.subject.MESH | Kidney Failure, Chronic/physiopathology* | - |
dc.subject.MESH | Kidney Transplantation/adverse effects* | - |
dc.subject.MESH | Living Donors | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Predictive Value of Tests | - |
dc.subject.MESH | Pulmonary Edema/diagnosis* | - |
dc.subject.MESH | Pulmonary Edema/diagnostic imaging | - |
dc.subject.MESH | Pulmonary Edema/physiopathology | - |
dc.subject.MESH | Risk Factors | - |
dc.title | Predictive Value of Echocardiographic Abnormalities and the Impact of Diastolic Dysfunction on In-hospital Major Cardiovascular Complications after Living Donor Kidney Transplantation | - |
dc.type | Article | - |
dc.publisher.location | Australia | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine | - |
dc.contributor.googleauthor | Eun Jung Kim | - |
dc.contributor.googleauthor | Suyon Chang | - |
dc.contributor.googleauthor | So Yeon Kim | - |
dc.contributor.googleauthor | Kyu Ha Huh | - |
dc.contributor.googleauthor | Soojeong Kang | - |
dc.contributor.googleauthor | Yong Seon Choi | - |
dc.identifier.doi | 10.7150/ijms.15745 | - |
dc.contributor.localId | A00816 | - |
dc.contributor.localId | A03444 | - |
dc.contributor.localId | A04119 | - |
dc.contributor.localId | A04344 | - |
dc.contributor.localId | A00616 | - |
dc.relation.journalcode | J02917 | - |
dc.identifier.eissn | 1449-1907 | - |
dc.identifier.pmid | 27499694 | - |
dc.subject.keyword | diastolic dysfunction | - |
dc.subject.keyword | end-stage renal disease | - |
dc.subject.keyword | living donor kidney transplantation | - |
dc.subject.keyword | pulmonary edema | - |
dc.subject.keyword | tissue Doppler imaging | - |
dc.contributor.alternativeName | Kim, So Yeon | - |
dc.contributor.alternativeName | Kim, Eun Jung | - |
dc.contributor.alternativeName | Chang, Su Yon | - |
dc.contributor.alternativeName | Choi, Yong Seon | - |
dc.contributor.alternativeName | Huh, Kyu Ha | - |
dc.contributor.affiliatedAuthor | Kim, Eun Jung | - |
dc.contributor.affiliatedAuthor | Chang, Su Yon | - |
dc.contributor.affiliatedAuthor | Choi, Yong Seon | - |
dc.contributor.affiliatedAuthor | Huh, Kyu Ha | - |
dc.contributor.affiliatedAuthor | Kim, So Yeon | - |
dc.citation.volume | 13 | - |
dc.citation.number | 8 | - |
dc.citation.startPage | 620 | - |
dc.citation.endPage | 628 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF MEDICAL SCIENCES, Vol.13(8) : 620-628, 2016 | - |
dc.date.modified | 2017-10-24 | - |
dc.identifier.rimsid | 45688 | - |
dc.type.rims | ART | - |
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