Table 1 Demographic, clinical, and echocardiographic variables in Hemodialysis patients with preserved LV GLS or reduced LV GLS.
Hemodialysis population, n = 319 | ||||
---|---|---|---|---|
Total population | Preserved LV GLS, n = 197 | Reduced LV GLS, n = 122 | p-value | |
Demographics | ||||
Age, years | 66.33 ± 15.13 | 66.44 ± 14.57 | 66.16 ± 16.03 | 0.876 |
Male Gender, n (%) | 155 (48.6%) | 90 (45.7%) | 65 (53.3%) | 0.187 |
BMI, Kg/m2 | 24.19 ± 3.72 | 24.10 ± 3.94 | 24.33 ± 3.36 | 0.565 |
Comorbidities | ||||
Hypertension, n (%) | 230 (72.1%) | 141 (71.6%) | 89 (73%) | 0.790 |
Diabetes mellitus, n (%) | 163 (51.1%) | 95 (48.2%) | 68 (55.7%) | 0.192 |
Coronary artery disease, n (%) | 109 (34.2%) | 58 (29.4%) | 51 (41.8%) | 0.024 |
H2FPEF score | 2.58 ± 1.40 | 2.55 ± 1.42 | 2.64 ± 1.38 | 0.600 |
Laboratory tests | ||||
Hb, g/dL | 10.18 ± 1.18 | 10.13 ± 1.08 | 10.25 ± 1.32 | 0.385 |
eGFR, mL/min/1.73 m2 | 7.27 ± 5.26 | 6.82 ± 4.12 | 8.12 ± 6.73 | 0.072 |
Albumin | 3.71 ± 0.38 | 3.74 ± 0.35 | 3.67 ± 0.43 | 0.106 |
Ca, mg/dL | 8.72 ± 0.97 | 8.98 ± 0.89 | 8.92 ± 0.82 | 0.488 |
P, mg/dL | 5.11 ± 1.48 | 5.02 ± 1.44 | 5.25 ± 1.55 | 0.192 |
Dialysis efficiency | ||||
Dialyzer flow, ml/min | 252.08 ± 32.24 | 253.27 ± 33.54 | 250.16 ± 30.07 | 0.403 |
Dialysis duration, hr | 3.91 ± 0.22 | 3.92 ± 0.21 | 3.91 ± 0.23 | 0.755 |
Ultrafiltration, kD | 2.34 ± 1.09 | 2.40 ± 1.17 | 2.26 ± 0.98 | 0.259 |
Echocardiographic parameters | ||||
LVIDd, cm | 4.86 ± 0.69 | 4.84 ± 0.67 | 4.89 ± 0.76 | 0.486 |
LVIDs, cm | 3.03 ± 0.56 | 2.97 ± 0.52 | 3.14 ± 0.61 | 0.017 |
LVEDV, mL | 80.16 ± 28.06 | 78.00 ± 25.16 | 83.65 ± 32.02 | 0.099 |
LVESV, mL | 33.09 ± 13.21 | 31.65 ± 11.63 | 35.43 ± 15.21 | 0.020 |
LVEF, % | 59.04 ± 4.77 | 59.67 ± 4.86 | 58.03 ± 4.48 | 0.134 |
E, cm/s | 89.90 ± 29.54 | 88.42 ± 27.45 | 92.37 ± 32.70 | 0.258 |
A, cm/s | 104.84 ± 25.39 | 105.56 ± 24.21 | 103.60 ± 27.41 | 0.525 |
E/A ratio | 0.88 ± 0.38 | 0.86 ± 0.35 | 0.93 ± 0.44 | 0.192 |
Septal e’, cm/s | 6.50 ± 1.73 | 5.39 ± 1.68 | 5.44 ± 1.50 | 0.801 |
Septal E/e’ ratio | 17.56 ± 6.66 | 17.28 ± 5.95 | 18.04 ± 7.73 | 0.348 |
LAV index, mL/m2 | 56.13 ± 9.32 | 55.97 ± 8.37 | 56.39 ± 10.72 | 0.694 |
TR velocity, cm/s | 268.1 ± 51.25 | 265.91 ± 51.22 | 272.54 ± 51.26 | 0.273 |
RVSP, mmHg | 35.66 ± 12.73 | 34.91 ± 12.34 | 36.90 ± 13.32 | 0.188 |
LVM index, g/m2 | 151.23 ± 45.61 | 149.93 ± 46.24 | 153.32 ± 44.66 | 0.521 |
LVH | 280 (87.7%) | 173 (87.8%) | 107 (87.7%) | 0.953 |
Diastolic dysfunction, n (%) | 107 (37.9%) | 62 (34.4%) | 45 (44.1%) | 0.108 |
Global longitudinal strain parameters | ||||
AP4L strain, % | − 18.72 ± 4.47 | − 19.44 ± 3.93 | − 17.57 ± 5.04 | 0.001 |
AP2L strain, % | − 19.13 ± 5.31 | − 19.63 ± 5.84 | − 18.34 ± 4.22 | 0.035 |
AP3L strain, % | − 18.24 ± 5.62 | − 18.86 ± 5.44 | − 17.26 ± 5.79 | 0.013 |
LV GLS, % | − 18.35 ± 4.98 | − 18.84 ± 5.34 | − 17.56 ± 4.26 | 0.001 |