The relationship of fluid overload as assessed by bioelectrical impedance analysis with pulmonary arterial hypertension in hemodialysis patients

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dc.contributor.authorYılmaz, Süreyya
dc.contributor.authorYıldırım, Yaşar
dc.contributor.authorTaylan, Mahsuk
dc.contributor.authorDemir, Melike
dc.contributor.authorYılmaz, Zülfükar
dc.contributor.authorKara, Ali Veysel
dc.contributor.authorAydın, Fatma
dc.contributor.authorŞen, Hadice Selimoǧlu
dc.contributor.authorKarabulut, Aziz
dc.contributor.authorTopçu, Füsun
dc.date.accessioned2024-04-24T17:56:36Z
dc.date.available2024-04-24T17:56:36Z
dc.date.issued2016
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Göğüs Hastalıkları Ana Bilim Dalıen_US
dc.description.abstractBackground: Pulmonary arterial hypertension (PAH) is common disease among hemodialysis (HD) patients and is associated with increased morbidity and mortality. However, its pathogenesis has not been completely elucidated. We aimed to evaluate the frequency of PAH in HD patients, as well as the relationship between fluid status and PAH. Material/Methods: We enrolled 77 HD patients in this study. Multifrequency bioimpedance analysis (BIA) was used to assess fluid status. BIA was performed before and 30 min after the midweek of HD. Overhydration (OH)/extracellular water (ECW)% ratio was used as an indicator of fluid status. Fluid overload was defined as OH/ECW ?7%. Echocardiographic examinations were performed before and after the HD. Pulmonary arterial hypertension was defined as systolic pulmonary artery pressure at rest (sPAP) higher than 35 mmHg. Results: PAH was found in 33.7% of the HD patients. OH/ECW and the frequency of fluid overload were significantly higher in HD patients with PAH than those without PAH, whereas serum albumin and hemoglobin levels were significantly lower. sPAP level was significantly higher in HD patients with fluid overload than in those without fluid overload after hemodialysis session. Furthermore, sPAP, OH/ECW levels, and the frequency of PAH were significantly reduced after HD. We also found a significant positive correlation between sPAP and OH/ECW. Multivariate logistic regression analysis demonstrated fluid overload to be an independent predictor of PAH after HD. Conclusions: PAH is prevalent among HD patients. This study demonstrated a strong relationship between fluid overload and PAH in HD patients.en_US
dc.identifier.citationYılmaz, S., Yıldırım, Y., Taylan, M., Demir, M., Yılmaz, Z., Kara, A. V. ve diğerleri. (2016). The relationship of fluid overload as assessed by bioelectrical impedance analysis with pulmonary arterial hypertension in hemodialysis patients. Medical Science Monitor, 22, 488-494.
dc.identifier.doi10.12659/MSM.896305
dc.identifier.endpage494en_US
dc.identifier.issn1234-1010
dc.identifier.pmid26874785
dc.identifier.scopus2-s2.0-84958068680
dc.identifier.scopusqualityQ1
dc.identifier.startpage488en_US
dc.identifier.urihttps://doi.org/10.12659/MSM.896305
dc.identifier.urihttps://hdl.handle.net/11468/23593
dc.identifier.volume22en_US
dc.identifier.wosWoSIDEksik
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherInternational Scientific Literature Inc.en_US
dc.relation.ispartofMedical Science Monitor
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectElectric impedanceen_US
dc.subjectPulmonary heart diseaseen_US
dc.subjectRenal dialysisen_US
dc.titleThe relationship of fluid overload as assessed by bioelectrical impedance analysis with pulmonary arterial hypertension in hemodialysis patientsen_US
dc.titleThe relationship of fluid overload as assessed by bioelectrical impedance analysis with pulmonary arterial hypertension in hemodialysis patients
dc.typeArticleen_US

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