Are echocardiographic parameters associated with the rate of renal function decline and progression to dialysis in patients with CKD stage 3 to 5?
Echocardiographic parameters such as concentric LVH, LA diameter, and LVEF can help identify patients with CKD stage 3 to 5 at high risk for rapid renal function decline and progression to dialysis.
Our study in patients of CKD stage 3 to 5 demonstrated that concentric LVH was associated with progression to dialysis, and that increased LA diameter and decreased LVEF were associated with faster renal function decline. Echocardiography may help identify high-risk groups with progressive decline in renal function to dialysis and rapid progression of renal dysfunction in CKD stage 3 to 5 patients.
Chen et al. (Fri,) studied this question.