RESUMO
BACKGROUND: In diabetic patients with chronic renal failure (CRF) treated with dialysis, the diastolic and systolic left ventricular dysfunction is frequent. The aim was to assess by echocardiography the prevalence of diastolic and systolic ventricular dysfunction in diabetic patients with CRF treated with continuous ambulatory peritoneal dialysis (CAPD). METHODS: Sixty diabetic patients with CRF in CAPD were studied. The mean age was 54.5 +/- 12 years (27-78 years). The left ventricular filling pattern (LVFP) as a diastolic function parameter and left ventricular ejection fraction (LVEF) as a systolic function parameter were measured by transthoracic echocardiography. Descriptive statistical analysis was used. RESULTS: 27 (45 %) patients were women and 33 (55 %) were men. In 55 (91.7 %) left ventricular concentric hypertrophy was observed. Fifty-two patients (86.7 %) showed LVFP type I; three (5 %) had the type II; two (3.3 %) showed pseudonormal pattern and three (5 %) had a normal LVFP. The LVEF was 0.63 +/- 0.09 (CI = 0.41-0.82). Forty nine (81.7 %) patients had LVEF equal or greater than 0.55. CONCLUSIONS: The prevalence of diastolic left ventricular dysfunction was 95 % and the prevalence of systolic left ventricular dysfunction was 18.3%.
Assuntos
Complicações do Diabetes/etiologia , Falência Renal Crônica/complicações , Falência Renal Crônica/terapia , Diálise Peritoneal Ambulatorial Contínua , Disfunção Ventricular Esquerda/etiologia , Adulto , Idoso , Complicações do Diabetes/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Disfunção Ventricular Esquerda/epidemiologiaRESUMO
UNLABELLED: The chest radiography is used routinely by the clinician as a tool in the scan of patients with systemic arterial hypertension (SAH) to evaluate the dimensions of the heart. However the highest reported sensitivity for the evaluation of heart growth with this method is 77.3% in contrast to the transthoracic echocardiogram (TTE) that reaches between 90 to 100%. The aim of this study was assess in our population of patients with SAH, the correlation between chest radiography and the TTE in regard to cardiomegaly. PATIENTS AND METHODS: Seventy two patients with SAH and radiological cardiomegaly, graded by measuring the cardiothoracic ratio (CTR), were evaluated by transthoracic echocardiography. The Pearson's and Spearman's correlation coefficients between both methods were assessed. Significance level was set at < 0.05. RESULTS: Forty one (56.9%) patients were women and 31 (43.1%) were men. The age was 62.4 +/- 10 years (43-83 years). Left ventricular concentric hypertrophy (LVCH) was found in 56 (77.8%) patients. In 13 (18%) patients the left ventricular end diastolic diameter (LVEDD) was higher than the normal value. The correlation coefficient between the diastolic ventricular septal thickness (DST) and CTR was 0.285 (p < 0.05) and between the LVEDD and radiological cardiomegaly was 0.203 (p = NS). CONCLUSIONS: In patients with SAH, the radiological evidence of cardiomegaly keeps a correlation with ventricular hypertrophy, but not with ventricular dilation.
Assuntos
Cardiomegalia/diagnóstico por imagem , Hipertensão/complicações , Adulto , Cardiomegalia/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Radiografia , UltrassonografiaRESUMO
The chest radiography is used routinely by the clinician as a tool in the scan of patients with systemic arterial hypertension (SAH) to evaluate the dimensions of the heart. However the highest reported sensitivity for the evaluation of heart growth with this method is 77.3% in contrast to the transthoracic echocardiogram (TTE) that reaches between 90 to 100%. The aim of this study was assess in our population of patients with SAH, the correlation between chest radiography and the TTE in regard to cardiomegaly. PATIENTS AND METHODS: Seventy two patients with SAH and radiological cardiomegaly, graded by measuring the cardiothoracic ratio (CTR), were evaluated by transthoracic echocardiography. The Pearson's and Spearman's correlation coefficients between both methods were assessed. Significance level was set at < 0.05. RESULTS: Forty one (56.9%) patients were women and 31 (43.1%) were men. The age was 62.4 +/- 10 years (43-83 years). Left ventricular concentric hypertrophy (LVCH) was found in 56 (77.8%) patients. In 13 (18%) patients the left ventricular end diastolic diameter (LVEDD) was higher than the normal value. The correlation coefficient between the diastolic ventricular septal thickness (DST) and CTR was 0.285 (p < 0.05) and between the LVEDD and radiological cardiomegaly was 0.203 (p = NS). CONCLUSIONS: In patients with SAH, the radiological evidence of cardiomegaly keeps a correlation with ventricular hypertrophy, but not with ventricular dilation.
Assuntos
Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cardiomegalia , Cardiomegalia , Hipertensão , Cardiomegalia , Estudos ProspectivosRESUMO
La sexualidad es un aspecto importante en la vida de las personas, entre ellos, los adolescentes. El objetivo de este trabajo fue identificar los temas de esta materia que más interesan a un grupo de adolescentes del área de salud Iguará y las vías que prefieren para recibir información al respecto. Se informa el número de embarazos, partos y legrados de adolescentes entre los años 2002 y 2003. Se aplicó una encuesta a una muestra de estudiantes de la secundaria básica urbana "Santos Caraballé". Se demostró que en general existe un interés mayor hacía los temas que tratan las infecciones de transmisión sexual y el embarazo en la adolescencia, en un 38,1 y 32, 7 por ciento, respectivamente y que prefieren recibir información de los médicos y enfermeras de la familia. Los resultados alcanzados permiten concluir que el conocimiento de estos temas y las vías preferenciales para recibir información, posibilitan a los actores de la comunidad tomar medidas que faciliten darle al adolescente todo lo que necesite saber sobre sexualidad(AU)
The sexuality is an important aspect in the life of people, among them, the adolescents. The objective of this work was to identify the topics of this matter that more they interest to a group of adolescents of the area of health Iguará and the roads that you/they prefer to receive information in this respect. It is informed the number of pregnancies, childbirths and adolescents' legrados among the years 2002 and 2003. A survey was applied to a sample of students of the Sacred urban basic secondary Caraballé". it was demonstrated that in general a bigger interest exists he/she made the topics that treat the infections of sexual transmission and the pregnancy in the adolescence, in 38,1 32, 7 percent, respectively and that they prefer to receive the doctors' information and nurses of the family. The reached results allow to conclude that the knowledge of these topics and the preferential roads to receive information, they facilitate the actors of the community to take measures that facilitate to give the adolescent all that needs to know about sexuality(AU)
Assuntos
Humanos , Masculino , Feminino , Adolescente , Gravidez na Adolescência/prevenção & controle , Infecções Sexualmente Transmissíveis/etiologia , Inquéritos e Questionários , Sexualidade/fisiologia , Saúde do Adolescente/tendências , ConhecimentoRESUMO
La sexualidad es un aspecto importante en la vida de las personas, entre ellos, los adolescentes. El objetivo de este trabajo fue identificar los temas de esta materia que más interesan a un grupo de adolescentes del área de salud Iguará y las vías que prefieren para recibir información al respecto. Se informa el número de embarazos, partos y legrados de adolescentes entre los años 2002 y 2003. Se aplicó una encuesta a una muestra de estudiantes de la secundaria básica urbana "Santos Caraballé". Se demostró que en general existe un interés mayor hacía los temas que tratan las infecciones de transmisión sexual y el embarazo en la adolescencia, en un 38,1 y 32, 7(por ciento), respectivamente y que prefieren recibir información de los médicos y enfermeras de la familia. Los resultados alcanzados permiten concluir que el conocimiento de estos temas y las vías preferenciales para recibir información, posibilitan a los actores de la comunidad tomar medidas que faciliten darle al adolescente todo lo que necesite saber sobre sexualidad(AU)
