How to cite item

Left ventricular rotational abnormalities following successful kidney transplantation—insights from the three-dimensional speckle-tracking echocardiographic MAGYAR-Path Study

  
@article{QIMS22307,
	author = {Bernadett Borda and Árpád Kormányos and Péter Domsik and Anita Kalapos and Csaba Lengyel and Nóra Ambrus and György Lázár and Tamás Forster and Attila Nemes},
	title = {Left ventricular rotational abnormalities following successful kidney transplantation—insights from the three-dimensional speckle-tracking echocardiographic MAGYAR-Path Study},
	journal = {Quantitative Imaging in Medicine and Surgery},
	volume = {8},
	number = {11},
	year = {2018},
	keywords = {},
	abstract = {Background: Kidney transplantation (KTx) is the preferred treatment for virtually all suitable candidates with end-stage renal disease. There is limited information on left ventricular (LV) rotational mechanics  post-KTx, therefore the present study aimed to assess it and to compare it to that of age- and gender-matched healthy controls. 
Methods: The present study comprised 42 KTx patients, from which 4 patients were excluded due to insufficient image quality (mean age: 46.3±8.2 years, 29 males). Control group consisted of 81 age- and gender-matched healthy individuals (mean age: 43.5±10.8 years, 51 males). All KTx patients and healthy controls successfully underwent transthoracic two-dimensional (2D) Doppler echocardiography and  three-dimensional speckle-tracking echocardiography (3DSTE). 
Results: Significant differences could be demonstrated in LA diameter, LV end-diastolic diameter and volume, interventricular septum, LV posterior wall thickness, LV ejection fraction and early and late filling transmitral flow velocities and in their ratio between KTx patients and controls; none of the subjects examined showed grade 2–4 mitral and/or tricuspid regurgitations. Three patients following successful KTx showed near absence of LV twist called as LV ‘rigid body rotation’ (RBR) movement. When the remaining 35 post-KTx patients were analysed separately, reduced basal LV rotation could be demonstrated in post-KTx patients with tendentious increase in apical LV rotation resulting in an unchanged LV twist. 
Conclusions: KTx is associated with alterations in LV rotational mechanics with unchanged LV twist suggesting a remodelling of this sort of movement. The near absence of LV twist (LV-RBR) could be demonstrated in some post-KTx cases.},
	url = {http://qims.amegroups.com/article/view/22307}
}