Unique ID issued by UMIN | UMIN000000739 |
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Receipt number | R000000888 |
Scientific Title | Long-term evolution and changing associations of left ventricular hypertrophy after starting hemodialysis |
Date of disclosure of the study information | 2007/06/20 |
Last modified on | 2007/06/13 13:43:56 |
Long-term evolution and changing associations of left ventricular hypertrophy after starting hemodialysis
Evolution and associations of LVH
Long-term evolution and changing associations of left ventricular hypertrophy after starting hemodialysis
Evolution and associations of LVH
Japan |
hemodialysis
Nephrology |
Others
NO
We examined the evolution of LVH after starting dialysis and the determinants of changes in LV mass.
Others
To examine the effect of cardiac function on all cause and cardiovascular mortality.
Confirmatory
Pragmatic
Not applicable
changes in LV mass index (LVMI)
all cause and cardiovascular mortality.
Observational
15 | years-old | <= |
Not applicable |
Male and Female
Patients had been receiving regular hemodialysis for at least 6 months at one of our three hospitals following the inception of dialysis therapy at Tsuchiura Kyodo General Hospital
Patients who had a technically unsatisfactory echocardiogram
200
1st name | |
Middle name | |
Last name | Atsushi Takeda |
Tsuchiura Kyodo General Hospital
Kidney Center
11-7, Manabeshinmachi, Tsuchiura-shi, Ibaraki-ken, 300-0032, Japan
029-823-3111
1st name | |
Middle name | |
Last name | Atsushi Takeda |
Midorino Clinic
Director
2526-1, Nishimura, Kutsukake, Bando-shi, Ibaraki-ken, 306-0515, Japan
0297-30-3311
atakeda@midorino.com
Tsuchiura Kyodo General Hospital
none
Self funding
NO
2007 | Year | 06 | Month | 20 | Day |
Unpublished
At baseline, the mean LV mass index (LVMI) was 145.8 g/ m2 and 73 (68%) patients had LVH. During the mean follow-up period of 34.5 months, the mean LVMI decreased by 4.3 g/ m2. At last follow-up, the mean LVMI was 141.5 g/ m2 and 68 (64%) patients had LVH. For changes in LVMI, a significant correlation was found in changes in systolic blood pressure, LVMI at baseline, ischemic heart disease, and changes in serum albumin concentration. The relationship between changes in LVMI and systolic blood pressure was close during the 1st and 2nd intervals, but became weak gradually during the 3rd and 4th intervals.
Completed
1998 | Year | 06 | Month | 01 | Day |
1998 | Year | 06 | Month | 01 | Day |
2005 | Year | 05 | Month | 01 | Day |
2005 | Year | 06 | Month | 01 | Day |
2005 | Year | 06 | Month | 01 | Day |
2006 | Year | 02 | Month | 01 | Day |
Many patients had LVH at starting hemodialysis and continued to have LVH thereafter. The most important determinant of LV mass changes was systolic blood pressure control, but the effect decreased gradually with time. These results suggest that active antihypertensive treatment should be started early, even if a few years have elapsed after the initiation of dialysis, to regress LVH and prevent cardiovascular diseases.
2007 | Year | 06 | Month | 13 | Day |
2007 | Year | 06 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000888
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