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Estimation of pulmonary artery systolic pressure in hemodialysis patients and its association with cardiorespiratory fitness and pulmonary function
Purpose To evaluate the estimated pulmonary arterial systolic pressure (PASP) through transthoracic echocardiography in hemodialysis (HD) patients and associate it with cardiorespiratory fitness and pulmonary function. Methods This study was a cross-sectional analysis of HD patients that performed e...
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| Published in: | International urology and nephrology 2023-04, Vol.55 (4), p.961-968 |
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| creator | Borba, Gabrielle Costa Andrade, Francini Porcher de Souza Ferreira, Tatiane Pinotti, Antônio Fernando Furlan Veronese, Francisco Veríssimo Rovedder, Paula Maria Eidt |
| description | Purpose
To evaluate the estimated pulmonary arterial systolic pressure (PASP) through transthoracic echocardiography in hemodialysis (HD) patients and associate it with cardiorespiratory fitness and pulmonary function.
Methods
This study was a cross-sectional analysis of HD patients that performed evaluations of cardiac function, cardiorespiratory fitness, and pulmonary function, through transthoracic echocardiography, cardiopulmonary exercise test, spirometry, and manovacuometry, respectively. All patients underwent the evaluations on a non-dialysis day.
Results
Thirty-five HD patients were evaluated and separated according to the presence of probable pulmonary hypertension (PH) (estimated PASP ≥ 35 mmHg) or not (estimated PASP |
| doi_str_mv | 10.1007/s11255-022-03381-4 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2719419902</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2789031729</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-d85606021dc86d6c0fb0a7e70c8ddeb6b5b7e1ca03c9d45b0303829b4e090a233</originalsourceid><addsrcrecordid>eNp9kcFuFiEURonR2Fp9AReGxI2b0QvMDMPSNNWaNHGja8IAY2lmYOQyMf9z9IXL36nWuHB1STjnu4SPkNcM3jMA-QEZ413XAOcNCDGwpn1CTlknRcO7oX361_mEvEC8AQA1ADwnJ6JnUnRCnpLbCyxhMSWkSNNE121eUjT5QE0uvg48YElzsHTNHnHLnoZIr_2SXDDzAQPStco-FqQmOhqOEzHZsEf-CuWaWpNdSNVfQzYl1dQplFjj7pXHldMW7dF6SZ5NZkb_6mGeke-fLr6dXzZXXz9_Of941VjB-9K4oeuhB86cHXrXW5hGMNJLsINzfuzHbpSeWQPCKtd2IwgQA1dj60GB4UKckXd77prTz81j0UtA6-fZRJ821Fwy1TKlgFf07T_oTdpyrK-r1KBAMMlVpfhO2ZwQs5_0muvn5oNmoI-V6b0yXSvT95XptkpvHqK3cfHuj_K7owqIHcB6FX_4_Lj7P7F3xnKl1w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2789031729</pqid></control><display><type>article</type><title>Estimation of pulmonary artery systolic pressure in hemodialysis patients and its association with cardiorespiratory fitness and pulmonary function</title><source>Springer Link</source><creator>Borba, Gabrielle Costa ; Andrade, Francini Porcher ; de Souza Ferreira, Tatiane ; Pinotti, Antônio Fernando Furlan ; Veronese, Francisco Veríssimo ; Rovedder, Paula Maria Eidt</creator><creatorcontrib>Borba, Gabrielle Costa ; Andrade, Francini Porcher ; de Souza Ferreira, Tatiane ; Pinotti, Antônio Fernando Furlan ; Veronese, Francisco Veríssimo ; Rovedder, Paula Maria Eidt</creatorcontrib><description>Purpose
To evaluate the estimated pulmonary arterial systolic pressure (PASP) through transthoracic echocardiography in hemodialysis (HD) patients and associate it with cardiorespiratory fitness and pulmonary function.
Methods
This study was a cross-sectional analysis of HD patients that performed evaluations of cardiac function, cardiorespiratory fitness, and pulmonary function, through transthoracic echocardiography, cardiopulmonary exercise test, spirometry, and manovacuometry, respectively. All patients underwent the evaluations on a non-dialysis day.
Results
Thirty-five HD patients were evaluated and separated according to the presence of probable pulmonary hypertension (PH) (estimated PASP ≥ 35 mmHg) or not (estimated PASP < 35 mmHg). Those HD patients with probable PH had the worst cardiorespiratory fitness, evaluated by the peak oxygen consumption (VO
2peak
) (17.11 ± 4.40 versus 12.90 ± 2.73 mL/kg/min;
p
= 0.011), and pulmonary function, evaluated by absolute and predicted of forced vital capacity (FVC) (85.52 ± 12.29 versus 71.38 ± 11.63%;
p
= 0.005) and absolute and predicted of forced expiratory volume in the first second (FEV
1
) (83.37 ± 14.98 versus 69.21 ± 13.48%;
p
= 0.017). The secondary analysis showed that estimated PASP was correlated with VO
2peak
(
r
= − 0.508;
p
= 0.002), FVC (
r
= − 0.450;
p
= 0.007), and FEV
1
(
r
= − 0.361;
p
= 0.033). Moreover, the adjusted odds ratio by HD vintage, dry weight and gender showed that increments in VO
2peak
(OR 1.62; CI 95% 1.04–2.54;
p
= 0.034), FVC (OR 39.67; CI 95% 1.74–902.80;
p
= 0.021), and FEV
1
(OR 39.54; CI 95% 1.89–826.99;
p
= 0.018) were associated with 1-fold and 39-fold higher chance, respectively, for not having PH. However, all these associations were lost when age was included in the analysis.
Conclusions
The HD patients with probable PH had the worst cardiorespiratory fitness and pulmonary function. Exploratory analyses showed that greater cardiopulmonary fitness was associated with better cardiac function. Moreover, increments in cardiorespiratory fitness and pulmonary function may increase the chance of not having PH.</description><identifier>ISSN: 1573-2584</identifier><identifier>ISSN: 0301-1623</identifier><identifier>EISSN: 1573-2584</identifier><identifier>DOI: 10.1007/s11255-022-03381-4</identifier><identifier>PMID: 36173537</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Blood Pressure ; Cardiac function ; Cardiorespiratory Fitness ; Cross-Sectional Studies ; Echocardiography ; Heart ; Hemodialysis ; Humans ; Hypertension, Pulmonary - diagnosis ; Hypertension, Pulmonary - etiology ; Medicine ; Medicine & Public Health ; Nephrology ; Nephrology - Original Paper ; Oxygen consumption ; Pulmonary arteries ; Pulmonary Artery ; Renal Dialysis - adverse effects ; Respiratory function ; Urology</subject><ispartof>International urology and nephrology, 2023-04, Vol.55 (4), p.961-968</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s), under exclusive licence to Springer Nature B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-d85606021dc86d6c0fb0a7e70c8ddeb6b5b7e1ca03c9d45b0303829b4e090a233</cites><orcidid>0000-0002-9893-6442 ; 0000-0003-3278-6661 ; 0000-0003-1695-0820 ; 0000-0002-7673-4241 ; 0000-0002-6040-503X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36173537$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Borba, Gabrielle Costa</creatorcontrib><creatorcontrib>Andrade, Francini Porcher</creatorcontrib><creatorcontrib>de Souza Ferreira, Tatiane</creatorcontrib><creatorcontrib>Pinotti, Antônio Fernando Furlan</creatorcontrib><creatorcontrib>Veronese, Francisco Veríssimo</creatorcontrib><creatorcontrib>Rovedder, Paula Maria Eidt</creatorcontrib><title>Estimation of pulmonary artery systolic pressure in hemodialysis patients and its association with cardiorespiratory fitness and pulmonary function</title><title>International urology and nephrology</title><addtitle>Int Urol Nephrol</addtitle><addtitle>Int Urol Nephrol</addtitle><description>Purpose
To evaluate the estimated pulmonary arterial systolic pressure (PASP) through transthoracic echocardiography in hemodialysis (HD) patients and associate it with cardiorespiratory fitness and pulmonary function.
Methods
This study was a cross-sectional analysis of HD patients that performed evaluations of cardiac function, cardiorespiratory fitness, and pulmonary function, through transthoracic echocardiography, cardiopulmonary exercise test, spirometry, and manovacuometry, respectively. All patients underwent the evaluations on a non-dialysis day.
Results
Thirty-five HD patients were evaluated and separated according to the presence of probable pulmonary hypertension (PH) (estimated PASP ≥ 35 mmHg) or not (estimated PASP < 35 mmHg). Those HD patients with probable PH had the worst cardiorespiratory fitness, evaluated by the peak oxygen consumption (VO
2peak
) (17.11 ± 4.40 versus 12.90 ± 2.73 mL/kg/min;
p
= 0.011), and pulmonary function, evaluated by absolute and predicted of forced vital capacity (FVC) (85.52 ± 12.29 versus 71.38 ± 11.63%;
p
= 0.005) and absolute and predicted of forced expiratory volume in the first second (FEV
1
) (83.37 ± 14.98 versus 69.21 ± 13.48%;
p
= 0.017). The secondary analysis showed that estimated PASP was correlated with VO
2peak
(
r
= − 0.508;
p
= 0.002), FVC (
r
= − 0.450;
p
= 0.007), and FEV
1
(
r
= − 0.361;
p
= 0.033). Moreover, the adjusted odds ratio by HD vintage, dry weight and gender showed that increments in VO
2peak
(OR 1.62; CI 95% 1.04–2.54;
p
= 0.034), FVC (OR 39.67; CI 95% 1.74–902.80;
p
= 0.021), and FEV
1
(OR 39.54; CI 95% 1.89–826.99;
p
= 0.018) were associated with 1-fold and 39-fold higher chance, respectively, for not having PH. However, all these associations were lost when age was included in the analysis.
Conclusions
The HD patients with probable PH had the worst cardiorespiratory fitness and pulmonary function. Exploratory analyses showed that greater cardiopulmonary fitness was associated with better cardiac function. Moreover, increments in cardiorespiratory fitness and pulmonary function may increase the chance of not having PH.</description><subject>Blood Pressure</subject><subject>Cardiac function</subject><subject>Cardiorespiratory Fitness</subject><subject>Cross-Sectional Studies</subject><subject>Echocardiography</subject><subject>Heart</subject><subject>Hemodialysis</subject><subject>Humans</subject><subject>Hypertension, Pulmonary - diagnosis</subject><subject>Hypertension, Pulmonary - etiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nephrology</subject><subject>Nephrology - Original Paper</subject><subject>Oxygen consumption</subject><subject>Pulmonary arteries</subject><subject>Pulmonary Artery</subject><subject>Renal Dialysis - adverse effects</subject><subject>Respiratory function</subject><subject>Urology</subject><issn>1573-2584</issn><issn>0301-1623</issn><issn>1573-2584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kcFuFiEURonR2Fp9AReGxI2b0QvMDMPSNNWaNHGja8IAY2lmYOQyMf9z9IXL36nWuHB1STjnu4SPkNcM3jMA-QEZ413XAOcNCDGwpn1CTlknRcO7oX361_mEvEC8AQA1ADwnJ6JnUnRCnpLbCyxhMSWkSNNE121eUjT5QE0uvg48YElzsHTNHnHLnoZIr_2SXDDzAQPStco-FqQmOhqOEzHZsEf-CuWaWpNdSNVfQzYl1dQplFjj7pXHldMW7dF6SZ5NZkb_6mGeke-fLr6dXzZXXz9_Of941VjB-9K4oeuhB86cHXrXW5hGMNJLsINzfuzHbpSeWQPCKtd2IwgQA1dj60GB4UKckXd77prTz81j0UtA6-fZRJ821Fwy1TKlgFf07T_oTdpyrK-r1KBAMMlVpfhO2ZwQs5_0muvn5oNmoI-V6b0yXSvT95XptkpvHqK3cfHuj_K7owqIHcB6FX_4_Lj7P7F3xnKl1w</recordid><startdate>20230401</startdate><enddate>20230401</enddate><creator>Borba, Gabrielle Costa</creator><creator>Andrade, Francini Porcher</creator><creator>de Souza Ferreira, Tatiane</creator><creator>Pinotti, Antônio Fernando Furlan</creator><creator>Veronese, Francisco Veríssimo</creator><creator>Rovedder, Paula Maria Eidt</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9893-6442</orcidid><orcidid>https://orcid.org/0000-0003-3278-6661</orcidid><orcidid>https://orcid.org/0000-0003-1695-0820</orcidid><orcidid>https://orcid.org/0000-0002-7673-4241</orcidid><orcidid>https://orcid.org/0000-0002-6040-503X</orcidid></search><sort><creationdate>20230401</creationdate><title>Estimation of pulmonary artery systolic pressure in hemodialysis patients and its association with cardiorespiratory fitness and pulmonary function</title><author>Borba, Gabrielle Costa ; Andrade, Francini Porcher ; de Souza Ferreira, Tatiane ; Pinotti, Antônio Fernando Furlan ; Veronese, Francisco Veríssimo ; Rovedder, Paula Maria Eidt</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-d85606021dc86d6c0fb0a7e70c8ddeb6b5b7e1ca03c9d45b0303829b4e090a233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Blood Pressure</topic><topic>Cardiac function</topic><topic>Cardiorespiratory Fitness</topic><topic>Cross-Sectional Studies</topic><topic>Echocardiography</topic><topic>Heart</topic><topic>Hemodialysis</topic><topic>Humans</topic><topic>Hypertension, Pulmonary - diagnosis</topic><topic>Hypertension, Pulmonary - etiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nephrology</topic><topic>Nephrology - Original Paper</topic><topic>Oxygen consumption</topic><topic>Pulmonary arteries</topic><topic>Pulmonary Artery</topic><topic>Renal Dialysis - adverse effects</topic><topic>Respiratory function</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Borba, Gabrielle Costa</creatorcontrib><creatorcontrib>Andrade, Francini Porcher</creatorcontrib><creatorcontrib>de Souza Ferreira, Tatiane</creatorcontrib><creatorcontrib>Pinotti, Antônio Fernando Furlan</creatorcontrib><creatorcontrib>Veronese, Francisco Veríssimo</creatorcontrib><creatorcontrib>Rovedder, Paula Maria Eidt</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International urology and nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Borba, Gabrielle Costa</au><au>Andrade, Francini Porcher</au><au>de Souza Ferreira, Tatiane</au><au>Pinotti, Antônio Fernando Furlan</au><au>Veronese, Francisco Veríssimo</au><au>Rovedder, Paula Maria Eidt</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Estimation of pulmonary artery systolic pressure in hemodialysis patients and its association with cardiorespiratory fitness and pulmonary function</atitle><jtitle>International urology and nephrology</jtitle><stitle>Int Urol Nephrol</stitle><addtitle>Int Urol Nephrol</addtitle><date>2023-04-01</date><risdate>2023</risdate><volume>55</volume><issue>4</issue><spage>961</spage><epage>968</epage><pages>961-968</pages><issn>1573-2584</issn><issn>0301-1623</issn><eissn>1573-2584</eissn><abstract>Purpose
To evaluate the estimated pulmonary arterial systolic pressure (PASP) through transthoracic echocardiography in hemodialysis (HD) patients and associate it with cardiorespiratory fitness and pulmonary function.
Methods
This study was a cross-sectional analysis of HD patients that performed evaluations of cardiac function, cardiorespiratory fitness, and pulmonary function, through transthoracic echocardiography, cardiopulmonary exercise test, spirometry, and manovacuometry, respectively. All patients underwent the evaluations on a non-dialysis day.
Results
Thirty-five HD patients were evaluated and separated according to the presence of probable pulmonary hypertension (PH) (estimated PASP ≥ 35 mmHg) or not (estimated PASP < 35 mmHg). Those HD patients with probable PH had the worst cardiorespiratory fitness, evaluated by the peak oxygen consumption (VO
2peak
) (17.11 ± 4.40 versus 12.90 ± 2.73 mL/kg/min;
p
= 0.011), and pulmonary function, evaluated by absolute and predicted of forced vital capacity (FVC) (85.52 ± 12.29 versus 71.38 ± 11.63%;
p
= 0.005) and absolute and predicted of forced expiratory volume in the first second (FEV
1
) (83.37 ± 14.98 versus 69.21 ± 13.48%;
p
= 0.017). The secondary analysis showed that estimated PASP was correlated with VO
2peak
(
r
= − 0.508;
p
= 0.002), FVC (
r
= − 0.450;
p
= 0.007), and FEV
1
(
r
= − 0.361;
p
= 0.033). Moreover, the adjusted odds ratio by HD vintage, dry weight and gender showed that increments in VO
2peak
(OR 1.62; CI 95% 1.04–2.54;
p
= 0.034), FVC (OR 39.67; CI 95% 1.74–902.80;
p
= 0.021), and FEV
1
(OR 39.54; CI 95% 1.89–826.99;
p
= 0.018) were associated with 1-fold and 39-fold higher chance, respectively, for not having PH. However, all these associations were lost when age was included in the analysis.
Conclusions
The HD patients with probable PH had the worst cardiorespiratory fitness and pulmonary function. Exploratory analyses showed that greater cardiopulmonary fitness was associated with better cardiac function. Moreover, increments in cardiorespiratory fitness and pulmonary function may increase the chance of not having PH.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>36173537</pmid><doi>10.1007/s11255-022-03381-4</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9893-6442</orcidid><orcidid>https://orcid.org/0000-0003-3278-6661</orcidid><orcidid>https://orcid.org/0000-0003-1695-0820</orcidid><orcidid>https://orcid.org/0000-0002-7673-4241</orcidid><orcidid>https://orcid.org/0000-0002-6040-503X</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1573-2584 |
| ispartof | International urology and nephrology, 2023-04, Vol.55 (4), p.961-968 |
| issn | 1573-2584 0301-1623 1573-2584 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2719419902 |
| source | Springer Link |
| subjects | Blood Pressure Cardiac function Cardiorespiratory Fitness Cross-Sectional Studies Echocardiography Heart Hemodialysis Humans Hypertension, Pulmonary - diagnosis Hypertension, Pulmonary - etiology Medicine Medicine & Public Health Nephrology Nephrology - Original Paper Oxygen consumption Pulmonary arteries Pulmonary Artery Renal Dialysis - adverse effects Respiratory function Urology |
| title | Estimation of pulmonary artery systolic pressure in hemodialysis patients and its association with cardiorespiratory fitness and pulmonary function |
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