Relationship between atrial fibrillation and left heart structure change in patients with hemodialysis combined with hemoperfusion
10.3969/j.issn.1673-9701.2023.34.006
- VernacularTitle:血液透析联合血液灌流患者的心房颤动与左心结构改变的关系研究
- Author:
Xiuzhen XIAO
1
;
Zhenzhen ZHANG
;
Limei ZHENG
;
Peng WU
;
Lijuan REN
Author Information
1. 赣州市中医院功能科,江西赣州 341000
- Keywords:
End-stage renal disease;
Hemodialysis;
Hemoperfusion;
Atrial fibrillation;
Left heart structure
- From:
China Modern Doctor
2023;61(34):24-26,30
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship between atrial fibrillation and left heart structure change in patients with hemodialysis combined with hemoperfusion.Methods A total of 60 patients with end-stage renal disease who underwent hemodialysis combined with hemoperfusion treatment in Ganzhou Hospital of Traditional Chinese Medicine from December 2020 to December 2021 were selected.Thirty patients with atrial fibrillation were included in observation group,and thirty patients without atrial fibrillation were included in control group.The left heart structure indexes of two groups were compared,and the relationship between atrial fibrillation and left heart structure change in patients with hemodialysis combined with hemoperfusion was analyzed.Results Left ventricular end diastolic diameter(LVEDD),left ventricular end systolic diameter(LVESD),left atrium diameter(LAD),interventricular septal thickness(IVST),and left ventricular posterior wall thickness(LVPWT)in observation group were higher than those in control group,and left ventricular ejection fraction(LVEF)was lower than that in control group(P<0.05).Logistic regression analysis showed that the decrease of LVEF and the increase of LVEDD,LVESD,LAD,IVST and LVPWT were associated with atrial fibrillation in patients with hemodialysis combined with hemoperfusion(P<0.05).The results of receiver operating characteristic curve showed that area under the curve of LVEDD,LVESD,LAD,LVEF,IVST and LVPWT in diagnosing atrial fibrillation in patients with hemodialysis combined with hemoperfusion were 0.724,0.708,0.760,0.761,0.762 and 0.758,respectively,which had certain diagnostic value.Conclusion Atrial fibrillation in patients with hemodialysis combined with hemoperfusion is related to the change of left heart structure,and the left heart structure indexes are helpful to assist the diagnosis of atrial fibrillation.
