A new technique for the detection of dry weight in hemodialysis patients: Estimated pulmonary capillary wedge pressure. A tissue Doppler imaging study

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dc.authoridYilmaz, Mehmet Birhan/0000-0002-8169-8628
dc.authoridhur, ender/0000-0002-8066-4629
dc.contributor.authorYildiz, Gursel
dc.contributor.authorHur, Ender
dc.contributor.authorMagden, Kemal
dc.contributor.authorCandan, Ferhan
dc.contributor.authorKayatas, Mansur
dc.contributor.authorYildirim, Ibrahim
dc.contributor.authorYilmaz, Mehmet Birhan
dc.date.accessioned2024-10-26T18:09:40Z
dc.date.available2024-10-26T18:09:40Z
dc.date.issued2022
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractBackground and objective: Fluid overload is an important factor of morbidity and mortality in hemodialysis patients. Today correct determination of dry weight (DW) remains an important issue of hemodialysis practice. Within this context, it is subjected to new method searching. The objective of this study was to calculate estimated pulmonary capillary wedge pressure (ePCWP) with Tissue Doppler Imaging (TDI) in hemodialysis patients and to evaluate its correlation with the other volume markers and to evaluate whether it can be a new method for detection of DW. Materials and methods: Echocardiographic, hemodynamic, and biochemical volume markers of 41 hemodialysis patients were evaluated in the pre- and post-dialysis periods. Patients were divided into two groups based on ePCWP values (Group 1 ePCWP <20 mmHg, Group 2 ePCWP> 20 mmHg). Results: In the pre-dialysis period; parameters related to volume load including ePCWP, systolic blood pressure, mean arterial pressure, pulse pressure, left atrial diameter, left atrial volume, E/e, ratio and E/V-p ratio were statistically significantly higher in Gmup2 compared to Group1. On the other hand, strong correlations were found between pre-dialysis ePCWP and systolic blood pressure, mean arterial pressure, pulse pressure, NT-ProBNP, left atrial diameter, E/e ratio and E/V-p ratio. Conclusions: Strong correlations found between ePCWP which was calculated with TDI and the other volume markers both in pre-dialysis and post-dialysis periods. These findings can provide a significant contribution to routine evaluating of DW in hemodialysis patients. From this aspect, the prediction of ePCWP with TDI can be a new practical and reproducible method for the determination of DW. (C) 2021 Sociedad Espanola de Nefrologia. Published by Elsevier Espana, S.L.U.
dc.identifier.doi10.1016/j.nefro.2021.04.013
dc.identifier.endpage480
dc.identifier.issn0211-6995
dc.identifier.issn1989-2284
dc.identifier.issue4
dc.identifier.pmid36460432
dc.identifier.scopus2-s2.0-85143302803
dc.identifier.scopusqualityQ4
dc.identifier.startpage471
dc.identifier.urihttps://doi.org/10.1016/j.nefro.2021.04.013
dc.identifier.urihttps://hdl.handle.net/20.500.12418/30223
dc.identifier.volume42
dc.identifier.wosWOS:000829079600010
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSoc Espanola Nefrologia Dr Rafael Matesanz
dc.relation.ispartofNefrologia
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDry weight
dc.subjectEstimated pulmonary capillary
dc.subjectwedge pressure
dc.subjectTissue Doppler
dc.subjectEchocardiography
dc.titleA new technique for the detection of dry weight in hemodialysis patients: Estimated pulmonary capillary wedge pressure. A tissue Doppler imaging study
dc.typeArticle

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