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NGHIÊN CỨU LÂM SÀNG Issue: Số 114

Early myocardial remodeling after AVF in end stage renal failure

Hồ Thanh Thủy: Trường Đại học Y Hà Nội; Đỗ Kim Bảng: Viện Tim mạch Việt Nam, Bệnh viện Bạch Mai; Đỗ Doãn Lợi: Trường Đại học Y Hà Nội; Đỗ Gia Tuyển: Bệnh viện Bạch Mai; Đoàn Thị Tú Uyên: Bệnh viện Bạch Mai;
Published: May 30, 2025
Views: 113
DOI 10.58354/jvc.114.2025.903

Abstract

Objective: To investigate early changes in left and right ventricular systolic function in patients with end-stage renal failure after AVF surgery and learn some related factors.

Results: The study was conducted with cross-sectional description and follow-up on 60 patients with end-stage renal failure and had AVF surgery after an average of 42.3 ± 13.6 days (min-max: 23-78 days),31 patients were re-evaluated. After surgery, both GLS (-17.46±3.56 % vs. -17.78±3.65 %) and EF Biplane (57.58±8.31% vs. 59.8±7.95%) tended to decrease with p <0.05, arterial systolic pressure lung increased from 31.65±8.64 to 35.42±8.01 mmHg with p < 0.05, the size of both left and right ventricles tended to increase Dd (49.1±5.05 mm compared to 49.68±5.52mm), Ds (33.1±4.92mm Compared with 33.03±5.57mm), D1 (34.2±4.08 mm with 35.13±4.7mm), D3 (66.45±7.103mm with 67.61±11.14 mm) with p < 0.05.

Conclusion: Early monitoring on average 6 weeks after AVF surgery, GLS, EF tended to decrease, increase left and right ventricular size. The GLS index has an expected value for early dysfunction.

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Section NGHIÊN CỨU LÂM SÀNG
Issue Số 114