The relationship between changes in peritoneal membrane solute transfer characteristics and cardiac remodeling in patients with peritoneal dialysis
Therapeutic Apheresis and Dialysis, vol.28, no.6, pp.871-879, 2024 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 28 Issue: 6
- Publication Date: 2024
- Doi Number: 10.1111/1744-9987.14170
- Journal Name: Therapeutic Apheresis and Dialysis
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, MEDLINE
- Page Numbers: pp.871-879
- Keywords: atrial dilatation, peritoneal dialysis, peritoneal membrane solute transfer characteristics, ventricle dilatation
- Dokuz Eylül University Affiliated: Yes
Abstract
Introduction: We aimed to determine the relationship between the dilatation of the heart chambers and the change in peritoneal membrane solute transfer characteristics (PMTC) in long-term peritoneal dialysis (PD) patients. Methods: This is a retrospective, single-center study including the follow-up of maintenance PD patients. According to the changes in PMTC from baseline to the last visit, patients were divided into three groups; stable (n = 11), increased (n = 41), and decreased transporters (n = 35). Results: Left atrium (LA) and Right ventricle (RV) dilatation were more prominent in the PMTC-decreased group compared to PMTC-increased and stable groups (p < 0.001 and p = 0.07, respectively). The Cox regression analysis showed that only decreased PMTC was associated with LA dilatation (HR 2.89 [CI 95%1.54, 5.45] p < 0.01) and RV dilatation (HR 3.01 [CI 95%1.40, 6.21] p < 0.01). Conclusion: PD can be associated with unfavorable dynamic changes in cardiac structure and functions even at the subclinical level.