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SERUM BNP CONCENTRATION AND LEFT VENTRICULAR MASS IN CAPD AND AUTOMATED PERITONEAL DIALYSIS PATIENTS

Department of Nephrology, 1 Fatih University Medical School; Department of Nephrology, 2 Ankara Education and Research Hospital; Department of Internal Medicine 3 and Department of Cardiology, 4 Fatih University Medical School, Ankara, Turkey Correspondence to: N. Bavbek, Harbiye Mah, Nigde Sokak, 4...

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Published in:Peritoneal dialysis international 2007-11, Vol.27 (6), p.663-668
Main Authors: Bavbek, Nuket, Akay, Hatice, Altay, Mustafa, Uz, Ebru, Turgut, Faruk, Uyar, Mehtap E, Karanfil, Aydyn, Selcoki, Yusuf, Akcay, Ali, Duranay, Murat
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creator Bavbek, Nuket
Akay, Hatice
Altay, Mustafa
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Karanfil, Aydyn
Selcoki, Yusuf
Akcay, Ali
Duranay, Murat
description Department of Nephrology, 1 Fatih University Medical School; Department of Nephrology, 2 Ankara Education and Research Hospital; Department of Internal Medicine 3 and Department of Cardiology, 4 Fatih University Medical School, Ankara, Turkey Correspondence to: N. Bavbek, Harbiye Mah, Nigde Sokak, 46/2 Dikmen, Ankara, Turkey. ntbavbek{at}yahoo.com Objective: To compare ultrafiltration under continuous ambulatory peritoneal dialysis (CAPD) and automated PD (APD), disclosing potential effects on serum B-type natriuretic peptide (BNP) levels and echocardiographic findings. Patients and Methods: This cross-sectional clinical study included 32 patients on CAPD and 30 patients on APD without clinical evidence of heart failure or hemodynamically significant valvular heart disease. Peritoneal equilibration tests, BNP levels, and echocardiographic measurements were performed in each subject. BNP measurements were also performed in 24 healthy control subjects. Results: Patients on APD had lower ultrafiltration and higher values of BNP and left ventricular mass index (LVMI) compared with patients on CAPD (respectively: 775 ± 160 vs 850 ± 265 mL, p = 0.01; 253.23 ± 81.64 vs 109.42 ± 25.63 pg/mL, p = 0.001; 185.12 ± 63.50 vs 129.30 ± 40.95 g/m 2 , p = 0.001). This occurred despite higher mean dialysate glucose concentrations and far more extensive use of icodextrin in the APD group. Conclusion: Treatment with APD is associated with higher plasma BNP levels and LVMI compared to CAPD. This may be the result of chronic fluid retention caused by lower ultrafiltration in APD patients. KEY WORDS: CAPD; APD; ultrafiltration; B-type natriuretic peptide (BNP); left ventricular mass index. Received 2 March 2007; accepted 24 May 2007.
doi_str_mv 10.1177/089686080702700612
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Bavbek, Harbiye Mah, Nigde Sokak, 46/2 Dikmen, Ankara, Turkey. ntbavbek{at}yahoo.com Objective: To compare ultrafiltration under continuous ambulatory peritoneal dialysis (CAPD) and automated PD (APD), disclosing potential effects on serum B-type natriuretic peptide (BNP) levels and echocardiographic findings. Patients and Methods: This cross-sectional clinical study included 32 patients on CAPD and 30 patients on APD without clinical evidence of heart failure or hemodynamically significant valvular heart disease. Peritoneal equilibration tests, BNP levels, and echocardiographic measurements were performed in each subject. BNP measurements were also performed in 24 healthy control subjects. Results: Patients on APD had lower ultrafiltration and higher values of BNP and left ventricular mass index (LVMI) compared with patients on CAPD (respectively: 775 ± 160 vs 850 ± 265 mL, p = 0.01; 253.23 ± 81.64 vs 109.42 ± 25.63 pg/mL, p = 0.001; 185.12 ± 63.50 vs 129.30 ± 40.95 g/m 2 , p = 0.001). This occurred despite higher mean dialysate glucose concentrations and far more extensive use of icodextrin in the APD group. Conclusion: Treatment with APD is associated with higher plasma BNP levels and LVMI compared to CAPD. This may be the result of chronic fluid retention caused by lower ultrafiltration in APD patients. KEY WORDS: CAPD; APD; ultrafiltration; B-type natriuretic peptide (BNP); left ventricular mass index. 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Bavbek, Harbiye Mah, Nigde Sokak, 46/2 Dikmen, Ankara, Turkey. ntbavbek{at}yahoo.com Objective: To compare ultrafiltration under continuous ambulatory peritoneal dialysis (CAPD) and automated PD (APD), disclosing potential effects on serum B-type natriuretic peptide (BNP) levels and echocardiographic findings. Patients and Methods: This cross-sectional clinical study included 32 patients on CAPD and 30 patients on APD without clinical evidence of heart failure or hemodynamically significant valvular heart disease. Peritoneal equilibration tests, BNP levels, and echocardiographic measurements were performed in each subject. BNP measurements were also performed in 24 healthy control subjects. Results: Patients on APD had lower ultrafiltration and higher values of BNP and left ventricular mass index (LVMI) compared with patients on CAPD (respectively: 775 ± 160 vs 850 ± 265 mL, p = 0.01; 253.23 ± 81.64 vs 109.42 ± 25.63 pg/mL, p = 0.001; 185.12 ± 63.50 vs 129.30 ± 40.95 g/m 2 , p = 0.001). This occurred despite higher mean dialysate glucose concentrations and far more extensive use of icodextrin in the APD group. Conclusion: Treatment with APD is associated with higher plasma BNP levels and LVMI compared to CAPD. This may be the result of chronic fluid retention caused by lower ultrafiltration in APD patients. KEY WORDS: CAPD; APD; ultrafiltration; B-type natriuretic peptide (BNP); left ventricular mass index. Received 2 March 2007; accepted 24 May 2007.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anesthesia. Intensive care medicine. Transfusions. 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Bavbek, Harbiye Mah, Nigde Sokak, 46/2 Dikmen, Ankara, Turkey. ntbavbek{at}yahoo.com Objective: To compare ultrafiltration under continuous ambulatory peritoneal dialysis (CAPD) and automated PD (APD), disclosing potential effects on serum B-type natriuretic peptide (BNP) levels and echocardiographic findings. Patients and Methods: This cross-sectional clinical study included 32 patients on CAPD and 30 patients on APD without clinical evidence of heart failure or hemodynamically significant valvular heart disease. Peritoneal equilibration tests, BNP levels, and echocardiographic measurements were performed in each subject. BNP measurements were also performed in 24 healthy control subjects. Results: Patients on APD had lower ultrafiltration and higher values of BNP and left ventricular mass index (LVMI) compared with patients on CAPD (respectively: 775 ± 160 vs 850 ± 265 mL, p = 0.01; 253.23 ± 81.64 vs 109.42 ± 25.63 pg/mL, p = 0.001; 185.12 ± 63.50 vs 129.30 ± 40.95 g/m 2 , p = 0.001). This occurred despite higher mean dialysate glucose concentrations and far more extensive use of icodextrin in the APD group. Conclusion: Treatment with APD is associated with higher plasma BNP levels and LVMI compared to CAPD. This may be the result of chronic fluid retention caused by lower ultrafiltration in APD patients. KEY WORDS: CAPD; APD; ultrafiltration; B-type natriuretic peptide (BNP); left ventricular mass index. Received 2 March 2007; accepted 24 May 2007.</abstract><cop>Milton, ON</cop><pub>Multimed</pub><pmid>17984428</pmid><doi>10.1177/089686080702700612</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source Sage Journals Online
subjects Adolescent
Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Cross-Sectional Studies
Dialysis Solutions - administration & dosage
Echocardiography
Emergency and intensive care: renal failure. Dialysis management
Female
Glomerulonephritis
Glucans - administration & dosage
Glucose - administration & dosage
Heart Ventricles - pathology
Humans
Hypertrophy, Left Ventricular - diagnosis
Hypertrophy, Left Ventricular - etiology
Icodextrin
Intensive care medicine
Kidney Failure, Chronic - blood
Kidney Failure, Chronic - complications
Kidney Failure, Chronic - therapy
Male
Medical sciences
Middle Aged
Natriuretic Peptide, Brain - blood
Nephrology. Urinary tract diseases
Nephropathies. Renovascular diseases. Renal failure
Peritoneal Dialysis - methods
Peritoneal Dialysis, Continuous Ambulatory
Ultrafiltration
Water-Electrolyte Imbalance
title SERUM BNP CONCENTRATION AND LEFT VENTRICULAR MASS IN CAPD AND AUTOMATED PERITONEAL DIALYSIS PATIENTS
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