The relationship between R wave peak time and left ventricular mass index in patients with end-stage renal disease on hemodialysis

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dc.authoridKalçık, Macit / 0000-0002-8791-4475
dc.authorwosidBekar, Lütfü / A-6945-2019
dc.contributor.authorKalçık, Macit
dc.contributor.authorYetim, Mücahit
dc.contributor.authorDoğan, Tolga
dc.contributor.authorEser, Barış
dc.contributor.authorDoğan, İbrahim
dc.contributor.authorBekar, Lütfü
dc.contributor.authorKaravelioğlu, Yusuf
dc.date.accessioned2021-11-01T15:02:01Z
dc.date.available2021-11-01T15:02:01Z
dc.date.issued2019
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractPurpose Cardiovascular complications have been reported to be the main cause of mortality in patients with end-stage renal disease (ESRD). Although left ventricular hypertrophy is the most common clinical presentation of cardiac remodeling, cardiovascular complications may also include disturbances of the heart conduction system. The R wave peak time (RWPT) has been previously associated with left ventricular hypertrophy and myocardial ischemia. In this study, we aimed to investigate the relationship between RWPT and echocardiographic parameters in patients with ESRD. Methods This study enrolled 66 patients (29 females, age 57.2 +/- 12.8 years) with ESRD, and 72 controls (37 females, age 55.3 +/- 10.1 years) with similar risk factors. All patients underwent electrocardiography and transthoracic echocardiography. The RWPT was defined as the interval between the onset of the QRS complex and the peak of the R or R' wave. Results There was no significant difference in terms of clinical and demographic parameters between ESRD patients and controls. Left ventricular ejection fraction was similar between the groups. However, left atrial diameter, interventricular septal thickness, posterior wall thickness, left ventricular mass (LVM) and left ventricular mass index (LVMI) were significantly higher in patients with ESRD. Among electrocardiographic parameters, P wave and QRS complex durations and RWPT were significantly higher in patients with ESRD. Prolonged RWPT, increased LVM and LVMI were identified as associates of ESRD. Furthermore, RWPT correlated well with LVM and LVMI. Conclusion The present study demonstrated that RWPT prolonged significantly in patients with ESRD. Furthermore, prolonged RWPT has been associated with increased LVM and LVMI.
dc.identifier.citationKalçık, M., Yetim, M., Doğan, T., Eser, B., Doğan, İ., Bekar, L., ... & Karavelioğlu, Y. (2019). The relationship between R wave peak time and left ventricular mass index in patients with end-stage renal disease on hemodialysis. International urology and nephrology, 51(11), 2045-2053.
dc.identifier.doi10.1007/s11255-019-02297-w
dc.identifier.endpage2053en_US
dc.identifier.issn0301-1623
dc.identifier.issn1573-2584
dc.identifier.issue11en_US
dc.identifier.pmid31571157
dc.identifier.scopus2-s2.0-85073594863
dc.identifier.scopusqualityQ2
dc.identifier.startpage2045en_US
dc.identifier.urihttps://doi.org/10.1007/s11255-019-02297-w
dc.identifier.urihttps://hdl.handle.net/11491/6808
dc.identifier.volume51en_US
dc.identifier.wosWOS:000501002800019
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorBekar, Lütfü
dc.institutionauthorKalçık, Macit
dc.institutionauthorKaravelioğlu, Yusuf
dc.institutionauthorYetim, Mücahit
dc.institutionauthorDoğan, Tolga
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofInternational Urology And Nephrology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectEchocardiographyen_US
dc.subjectElectrocardiographyen_US
dc.subjectEnd-stage Renal Diseaseen_US
dc.subjectR Wave Peak Timeen_US
dc.titleThe relationship between R wave peak time and left ventricular mass index in patients with end-stage renal disease on hemodialysis
dc.typeArticle

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