Effect of L-carnitine on the left ventricular mass in patients undergoing maintenance hemodialysis

VernacularTitle:左卡尼汀对维持性血液透析患者左心室心肌质量的影响
Author: Junling LI ; Feng ZHU ; Lin WANG ; Qin YAO
Publication Type:Journal Article
Keywords: L-carnitine; Hemodialysis; Left ventricular hypertrophy
From: Clinical Medicine of China 2010;26(11):1158-1160
CountryChina
Language:Chinese
Abstract: Objective To assess the effect of L-carnitine(L-CN)on left ventricular hypertrophy(LVH)in patients undergoing maintenance hemodialysis. Methods Thirty-one patients undergoing hemodialysis were randomly divided into the L-CN group(n =20)and the control group(n = 11). Patients in the L-CN group received additional intravenous injection of 1.0 g L-CN immediately after hemodialysis for a 6-month period. Patients in the control group received isovolumic saline. Using echocardiography,left ventricular mass (LVM),left ventricular mass index(LVMI)and the ejection fraction(EF)were measured before and after the treatment. Plasma calculus,plasma phosphorus and hemoglobin levels were measured. Results The LVM decreased significantly from(252. 03 ±32. 29)g to(204. 47 ± 37.33)g in patients in L-CN group(P ＜ 0. 05),the LVMI decreased significantly from (155.83 ± 23.42)g/m2 to(129. 21 ± 17.46)g/m2 in patients in the L-CN group. However,LVM and LVMI remained unchanged in the control group. Conclusions Supplementation with L-CN induced hypertrophy of LVH in patients on maintenance hemodialysis.