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Abstract: TH-PO832

Uremic Cardiomyopathy in Young Incident Peritoneal Dialysis Patients According to the Access of Public Health Services

Session Information

  • Peritoneal Dialysis - I
    November 02, 2017 | Location: Hall H, Morial Convention Center
    Abstract Time: 10:00 AM - 10:00 AM

Category: Dialysis

  • 608 Peritoneal Dialysis

Authors

  • Figueroa-Gonzalez, Perla Thalia, Regional General Hosptial 46, Mexican Institute of Social Security, Guadalajara, Mexico, Guadalajara, Mexico
  • Soto-Vargas, Javier, Regional General Hosptial 46, Mexican Institute of Social Security, Guadalajara, Mexico, Guadalajara, Mexico
  • Espinoza, Ana Sofia, Regional General Hosptial 46, Mexican Institute of Social Security, Guadalajara, Mexico, Guadalajara, Mexico
  • Gutierrez, Julio Alejandro, Regional General Hosptial 46, Mexican Institute of Social Security, Guadalajara, Mexico, Guadalajara, Mexico
  • Medina zepeda, Osvaldo rafael, Regional General Hospital 46, Mexican Institute of Social Security, Guadalajara, Mexico
  • Pazarin-Villase?or, Leonardo, Regional General Hosptial 46, Mexican Institute of Social Security, Guadalajara, Mexico, Guadalajara, Mexico
Background


Uremic cardiomyopathy is responsible for high morbidity and mortality rates among patients with end-stage renal disease. Our objective was to describe and compare the echocardiography characteristics of young incident peritoneal dialysis (PD) patients with and without access to Public Health Services (PHS).

Methods


Seventy-two incidents PD patients under 35 years old and with no history of cardiovascular disease underwent Doppler echocardiography evaluation. The results were reported according to the American Society of Echocardiography and the European Association of Cardiovascular Imaging.

Results

Thirty-six patients with universal medical care access and 36 without it were evaluated. Fifty-seven (79.2%) of the total cohort had at least one alteration on Doppler echocardiography evaluation. Thirteen (18.1%) had systolic dysfunction, and the median VEF was 60% (IQR, 51-63.7), in 9 (12.5%) patients diastolic dysfunction was present and 21 (11.1%) had a degree of pulmonary hypertension. The patients without access to PHS were younger (median 20 years, IQR 19-24, p=0.005), had higher left ventricular mass (median 238 grams, IQR 200-270, p <0.000), greater systolic dysfunction, VEF (median 55.5, IQR 42.25-60, p = 0.003), higher pulmonary arterial pressure (median 30 mmHg, IQR 28 -49, p <0.000), had more frequency of cardiomyopathy (91.7% vs 66.7%, p=0.018), and severity of the cardiomyopathy (66.7% vs 33.3% p=0.017).

Conclusion

The uremic cardiomyopathy is highly prevalent in young incident peritoneal dialysis patients. There is a difference according to the social security status, in the frequency of echocardiographic alterations and their severity.

PHS, Public Health Services. Fisher's Exact test.