Table 2: Statistical analysis of anamnestic, clinical and para-clinical characteristics.
|
Clinical overload signs |
US overload signs |
||||
Yes (n = 7) |
No (n = 30) |
p |
Yes (n = 17) |
No (n = 20) |
p |
|
Female gender n(%) |
4 (57.1) |
16 (53.3) |
0.59 |
12 (70.6) |
8 (40) |
0.06 |
Age |
54.4 |
58,1 |
0.6 |
59.2 |
55.9 |
0.56 |
Previous hypertension |
5 (71.4) |
16 (53.3) |
0.33 |
12 (70.6) |
9 (45) |
0.109 |
Diabetes |
0 |
8 (26.7) |
0.15 |
4 (23.5) |
4 (20) |
0.55 |
Dyslipidemia |
1 (14.3) |
8 (26.7) |
0.44 |
5 (29.4) |
4 (20) |
0.38 |
length of time on haemodialysis(month) |
109.8 |
115.6 |
0.8 |
108.8 |
119.4 |
0.69 |
Clinical characteristics : |
|
|||||
Predialytic BP |
4 (57.1) |
7 (23.3) |
0.09 |
8 (47.1) |
3 (15) |
0.038 |
Systolic BP |
137.7 |
126.3 |
0.15 |
133.9 |
139.4 |
0.1 |
Diastolic BP |
76.2 |
69.3 |
0.17 |
74 |
67.7 |
0.11 |
Upper limb edema |
4 (57.1) |
1 (3.3) |
0.002 |
5 (29.4) |
0 |
0.014 |
Jugularvein hypertension |
3 (42.9) |
0 |
0.005 |
3 (17.6) |
0 |
0.088 |
Lung auscultation |
7 (100) |
0 |
0.0001 |
4 (23.5) |
3 (15) |
0.404 |
Radiological findings : |
|
|
|
|
|
|
Cardiomegaly |
3 (42.9) |
0 |
0.005 |
3 (17.6) |
0 |
0.088 |
Hilar overload |
5 (71.4) |
5 (16.7) |
0.009 |
8 (47.1) |
2 (10) |
0.015 |
Pericardial effusion |
1 (14.3) |
1 (3.3) |
0.34 |
1 (5.9) |
1 (5) |
0.71 |
Treatement : |
|
|
|
|
|
|
Diurétiucs |
2 (28.6) |
6 (20) |
0.47 |
2 (11.8) |
6 (30) |
0.17 |
ACE inhibitors |
2 (28.6) |
7 (23.3) |
0.55 |
5 (29.4) |
4 (20) |
0.38 |
Statins |
1 (14.3) |
5 (16.7) |
0.68 |
4 (23.5) |
2 (10) |
0.25 |
Hemodifiltration |
6 (85.7) |
30 (100) |
0.18 |
16 (94.1) |
20 (100) |
0.45 |
Periodic haemodialysis |
1 (14.3) |
0 |
0.18 |
1 (5.9) |
0 |
0.45 |
Heart failure |
3 (42.9) |
0 |
0.005 |
3 (17.6) |
0 |
0.088 |
Echocardiography findings |
|
|||||
LVEF (%) |
59.4 |
61,3 |
0.6 |
58.8 |
62.8 |
0.17 |
LVH |
3 (42.9) |
11 (36.7) |
0,54 |
6 (35.3) |
8 (40) |
0.51 |
Absence of pericardial effusion |
6 (85.7) |
30 (100) |
0.18 |
16 (94.1) |
20 (100) |
0.45 |
Dilated IVC |
3 (42.9) |
1 (3.3) |
0.016 |
3 (17.6) |
1 (5) |
0.24 |
Normal LV filling pressure |
5 (71.4) |
28 (93.3) |
0.025 |
13 (76.5) |
20 (100) |
0.15 |
PAH |
3 (42.9) |
6 (20) |
0.21 |
3 (17.6) |
6 (30) |
0.31 |
US overload signs |
4 (57.1) |
13 (43.3) |
0.404 |
|
||
Clinical overload signs |
|
4 (23.5) |
3 (15) |
0.404 |
LVH: Left Ventricular Hypertrophy; IVC: Inferior Vena Cave; PAH: Pulmonary Arterial Hypertension; BP: Blood Pressure; ACE: Angiotensin Cardioverter Enzyme; LVEF: Left Ventricular Ejection Fraction; US: Ultrasound