Echocardiography Criteria for Structural Heart Disease in Patients With End-Stage Renal Disease Initiating Hemodialysis.

ABSTRACT:

Background

Cardiovascular disease among hemodialysis (HD) patients is linked to poor outcomes. The Acute Dialysis Quality Initiative Workgroup proposed echocardiographic (ECHO) criteria for structural heart disease (SHD) in dialysis patients. The association of SHD with important patient outcomes is not well defined.

Objectives

This study sought to determine prevalence of ECHO-determined SHD and its association with survival among incident HD patients.

Methods

We analyzed patients who began chronic HD from 2001 to 2013 who underwent ECHO ≤1 month prior to or ≤3 months following initiation of HD (n = 654).

Results

Mean patient age was 66 ± 16 years, and 60% of patients were male. ECHO findings that met 1 or more and ≥3 of the new criteria were discovered in 87%

SUBMITTER: Hickson LJ 

PROVIDER: S-EPMC4788810 | biostudies-literature | 2016 Mar

REPOSITORIES: biostudies-literature