Background: Dobutamine stress echocardiography (DSE) is used for induction of ischemia in different population. One of those is chronic kidney disease patients before renal transplantation for pre-operative risk assessment. Aim of the work: to evaluate the difference in dobutamine stress echocardiography between those with chronic kidney disease (CKD) on regular dialysis and patient with no known history of chronic renal impairment. Methods: From February 2016 to January 2017, twenty consecutive chronic kidney disease patients prepared for renal transplantation without history suggestive of ischemic heart disease and 40 consecutive patients with without history of renal impairment. Their heart rate, dobutamine dose, atropine dose and adverse side effects were compared between the two groups. Results: Both groups were matched in age and risk factors. Peak heart rate (HR) (133.7±16.99 vs. 144.08±10.99 b/m, P=0.012), time to target heart rate was (17.75±3.29 vs. 13.05±2.95 min, p=0.001) and dobutamine and atropine doses were higher in chronic kidney disease group than other group. Adverse reactions present in both groups but more incidence in CKD group. Conclusion: Chronic kidney disease patients response to dobutamine when underwent dobutamine stress echocardiography showed delayed effect of it with more dobutamine and atropine doses needed and more adverse reactions including Bezold-Jarisch reflex.
| Published in | Cardiology and Cardiovascular Research (Volume 4, Issue 3) |
| DOI | 10.11648/j.ccr.20200403.22 |
| Page(s) | 164-168 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Dobutamine Stress Echocardiography, Chronic Kidney Disease, Bezold-Jarisch Reflex
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APA Style
Abdel Mohsen Mostafa Aboualia. (2020). Dobutamine Stress Echocardiography in Chronic Kidney Disease Patients Candidates for Renal Transplantation. Cardiology and Cardiovascular Research, 4(3), 164-168. https://doi.org/10.11648/j.ccr.20200403.22
ACS Style
Abdel Mohsen Mostafa Aboualia. Dobutamine Stress Echocardiography in Chronic Kidney Disease Patients Candidates for Renal Transplantation. Cardiol. Cardiovasc. Res. 2020, 4(3), 164-168. doi: 10.11648/j.ccr.20200403.22
AMA Style
Abdel Mohsen Mostafa Aboualia. Dobutamine Stress Echocardiography in Chronic Kidney Disease Patients Candidates for Renal Transplantation. Cardiol Cardiovasc Res. 2020;4(3):164-168. doi: 10.11648/j.ccr.20200403.22
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Download@article{10.11648/j.ccr.20200403.22,
author = {Abdel Mohsen Mostafa Aboualia},
title = {Dobutamine Stress Echocardiography in Chronic Kidney Disease Patients Candidates for Renal Transplantation},
journal = {Cardiology and Cardiovascular Research},
volume = {4},
number = {3},
pages = {164-168},
doi = {10.11648/j.ccr.20200403.22},
url = {https://doi.org/10.11648/j.ccr.20200403.22},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20200403.22},
abstract = {Background: Dobutamine stress echocardiography (DSE) is used for induction of ischemia in different population. One of those is chronic kidney disease patients before renal transplantation for pre-operative risk assessment. Aim of the work: to evaluate the difference in dobutamine stress echocardiography between those with chronic kidney disease (CKD) on regular dialysis and patient with no known history of chronic renal impairment. Methods: From February 2016 to January 2017, twenty consecutive chronic kidney disease patients prepared for renal transplantation without history suggestive of ischemic heart disease and 40 consecutive patients with without history of renal impairment. Their heart rate, dobutamine dose, atropine dose and adverse side effects were compared between the two groups. Results: Both groups were matched in age and risk factors. Peak heart rate (HR) (133.7±16.99 vs. 144.08±10.99 b/m, P=0.012), time to target heart rate was (17.75±3.29 vs. 13.05±2.95 min, p=0.001) and dobutamine and atropine doses were higher in chronic kidney disease group than other group. Adverse reactions present in both groups but more incidence in CKD group. Conclusion: Chronic kidney disease patients response to dobutamine when underwent dobutamine stress echocardiography showed delayed effect of it with more dobutamine and atropine doses needed and more adverse reactions including Bezold-Jarisch reflex.},
year = {2020}
}
TY - JOUR T1 - Dobutamine Stress Echocardiography in Chronic Kidney Disease Patients Candidates for Renal Transplantation AU - Abdel Mohsen Mostafa Aboualia Y1 - 2020/09/23 PY - 2020 N1 - https://doi.org/10.11648/j.ccr.20200403.22 DO - 10.11648/j.ccr.20200403.22 T2 - Cardiology and Cardiovascular Research JF - Cardiology and Cardiovascular Research JO - Cardiology and Cardiovascular Research SP - 164 EP - 168 PB - Science Publishing Group SN - 2578-8914 UR - https://doi.org/10.11648/j.ccr.20200403.22 AB - Background: Dobutamine stress echocardiography (DSE) is used for induction of ischemia in different population. One of those is chronic kidney disease patients before renal transplantation for pre-operative risk assessment. Aim of the work: to evaluate the difference in dobutamine stress echocardiography between those with chronic kidney disease (CKD) on regular dialysis and patient with no known history of chronic renal impairment. Methods: From February 2016 to January 2017, twenty consecutive chronic kidney disease patients prepared for renal transplantation without history suggestive of ischemic heart disease and 40 consecutive patients with without history of renal impairment. Their heart rate, dobutamine dose, atropine dose and adverse side effects were compared between the two groups. Results: Both groups were matched in age and risk factors. Peak heart rate (HR) (133.7±16.99 vs. 144.08±10.99 b/m, P=0.012), time to target heart rate was (17.75±3.29 vs. 13.05±2.95 min, p=0.001) and dobutamine and atropine doses were higher in chronic kidney disease group than other group. Adverse reactions present in both groups but more incidence in CKD group. Conclusion: Chronic kidney disease patients response to dobutamine when underwent dobutamine stress echocardiography showed delayed effect of it with more dobutamine and atropine doses needed and more adverse reactions including Bezold-Jarisch reflex. VL - 4 IS - 3 ER -
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