Avaliação cardíaca morfofuncional na doença renal crônica estágios 3 e 4
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2014-09-15
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Universidade Federal de Goiás
Resumo
CKD is a public health issue, with an estimated prevalence of 10% worldwide. Recently, the
CKD was founded like an important cause of premature mortality, especially that caused by
cardiovascular disease. This study intent was to identify and quantify cardiac
morphofunctional alterations, and to verify the association between echocardiographic
parameters and clinical variables, in a population with CKD stages G3A, G3B and G4, at
conservative treatment. It is a cross-sectional study, including 55 patients with CKD stable
disease for at least 1 year. We evaluated anthropometric measures, blood pressure values,
creatinine, glomerular filtration rate, CKD stage, urine albumin-to-creatinine ratio, serum
albumin, lipid profile, serum phosphorus, serum calcium, PTH levels, hemoglobin levels, Creactive
protein levels, smoking, hypertension, diabetes and established cardiovascular
disease. We observed high frequency of diastolic dysfunction (80%) and left ventricular
hypertrophy (52,7%). The frequency of systolic dysfunction was 9,1% and valve cardiac
calcification was 41,8%. Only one echocardiographic measure – the velocity of Sm wave –
presented association with CKD stage. This measure is a marker of early systolic dysfunction.
Neither the other echocardiographic parameters nor the presence of cardiac morphofunctional
alterations presented association with CKD-related risk factors, only with traditional
cardiovascular risk factors.
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BERNARDES, W. A. O. Q. Avaliação cardíaca morfofuncional na doença renal crônica estágios 3 e 4. 2014. 77 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2014.