Long‐term CAPD patients are volume expanded and display more severe left ventricular hypertrophy than haemodialysis patients
Why the study?
Does CAPD compared to HD worsen left ventricular hypertrophy and volume expansion in long-term dialysis patients?
Population
252 long-term dialysis patients
Comparison
Continuous ambulatory peritoneal dialysis (CAPD) vs Haemodialysis (HD)
Design
Cross-sectional
Authors
Discussion
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Member takes
Implication
CAPD may warrant closer LVH monitoring than HD; leaves open causal effects of modality on cardiac remodeling.
Structured PICO
Does CAPD compared to HD worsen left ventricular hypertrophy and volume expansion in long-term dialysis patients?
P
Population
252 long-term dialysis patients (n=51 on continuous ambulatory peritoneal dialysis [CAPD], n=201 on haemodialysis [HD])
I
Intervention
Continuous ambulatory peritoneal dialysis (CAPD)
C
Comparator
Haemodialysis (HD)
O
Outcome
Left ventricular hypertrophy severity (left ventricular mass) and volume status (plasma atrial natriuretic peptide and left atrial volume)surrogate
Long-term CAPD is associated with more severe left ventricular hypertrophy and volume expansion compared to haemodialysis, likely driven by volume and pressure overload.
Cite This Study
Enia et al. (2001) studied this question.