Hemodynamic Profile of Patients with ESKD Referred to Heart Failure Department of Rajaie Heart Center, A Data from Right Heart Catheterization Registry

Authors

  • Leili Valizadeh Department of Cardiology, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran Author
  • Hoda Raffiei Jelodar Cardiovascular Research Center and Department of Cardiovascular Disease, Emam Hosein Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Author
  • Sepideh Taghavi 3Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran Author
  • Ahmad Amin Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran Author
  • Hamideh Khesali Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran Author
  • Reza Ravanparsa Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran Author
  • Marzieh Mirtajaddini Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran Author
  • Razie Omidvar Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran Author
  • Zahra Shafii Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran Author
  • Nasim Naderi Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran Author

Abstract

Introduction. Cardiovascular disorders are the leading cause of mortality and morbidity in patients with end-stage kidney disease (ESKD). We aimed to describe different patterns of cardiovascular abnormalities, the hemodynamics and the outcomes of ESKD patients referred to a tertiary center for heart failure programs, in detail. Methods. In this cohort, all ESKD patients who were referred by nephrologists for cardiovascular consultation and scheduled for right heart catheterization between July 2009 to October 2021, were assessed. The outcome of the selected patients in terms of all-cause mortality or successful kidney transplantation was followed up until January 2022. Results. A total of 73 patients (54.7% male) were selected. With the exception of four patients who had a specific cardiovascular disease, the remainder were referred due to a low left ventricular ejection fraction or pulmonary hypertension in order to determine the potential for kidney transplantation. Most of the patients (63%) were categorized as heart failure with reduced ejection fraction (HFREF). More than 87% of study population had pulmonary hypertension (PH). Post capillary PH (isolated or combined) was the most common type of PH (81%). The median interquartile range (IQR) of time to kidney transplantation or all-cause mortality was 1 (0.5 to 2) year. Twenty-five (36.2%) patients received a successful kidney transplant. The all-cause mortality rate was 28.8%. Older age, lower left ventricular ejection fraction (LVEF) and presence of pericardial effusion were independent predictors of all-cause mortality in multivariate analysis. Conclusion. ESKD patients with HFREF and/or pulmonary hypertension will have remarkable improvement in terms of their cardiac performance parameters following kidney transplantation.

 

DOI: 10.52547/ijkd.7105

Downloads

Download data is not yet available.

Author Biographies

  • Leili Valizadeh, Department of Cardiology, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran
    heart failure and transpalnt fellowship, Rajaie cardiovascular Heart center
  • Hoda Raffiei Jelodar, Cardiovascular Research Center and Department of Cardiovascular Disease, Emam Hosein Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
    heart failure and  transpalnt fellowship
  • Sepideh Taghavi, 3Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
    Professor of cardiology, Heart failure and transplant fellowship Rajaie Cardiovascular Medical and Research Center
  • Ahmad Amin, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
    Professor of cardiology, Heart failure and transplant fellowship, Rajaie Cardiovascular Medical and Research Center,
  • Hamideh Khesali, Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
    Associate professor , Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center
  • Reza Ravanparsa, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
    Interventional cardiology fellowship, Rajaie Cardiovascular Medical and Research Center
  • Marzieh Mirtajaddini, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
    Associate professor Heart failure and transplant fellowship, Rajaie Cardiovascular Medical and Research Center
  • Razie Omidvar, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
    Associate professor Heart failure and transplant fellowship Rajaie Cardiovascular Medical and Research Center,
  • Zahra Shafii, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
    Nephrologist,Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences
  • Nasim Naderi, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
    Professor of cardiology, Heart failure and transplant fellowship. Rajaie Cardiovascular Medical and Research Cente

Downloads

Published

2022-11-30

Issue

Section

ORIGINAL | Kidney Diseases

How to Cite

Hemodynamic Profile of Patients with ESKD Referred to Heart Failure Department of Rajaie Heart Center, A Data from Right Heart Catheterization Registry. (2022). Iranian Journal of Kidney Diseases, 16(6), 337347. https://www.ijkd.org/index.php/ijkd/article/view/7105

Most read articles by the same author(s)