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Article

Circumferential Strain as a Marker of Vessel Reactivity in Patients with Intradialytic Hypotension

by
Maciej Goździk
1,
Sergiusz Ustyniak
2,
Anna Zawiasa-Bryszewska
1,
Agnieszka Płuciennik
1,
Maja Nowicka
1,
Magdalena Kaczmarska
2,
Ludomir Stefańczyk
2 and
Ilona Kurnatowska
1,*
1
Department of Internal Medicine and Transplant Nephrology, Chair of Pulmonology, Rheumatology and Clinical Immunology, Medical University of Łódź, 90-153 Łódź, Poland
2
Department of Radiology and Diagnostic Imaging, Medical University of Łódź, 90-153 Łódź, Poland
*
Author to whom correspondence should be addressed.
Medicina 2023, 59(1), 102; https://doi.org/10.3390/medicina59010102
Submission received: 14 November 2022 / Revised: 21 December 2022 / Accepted: 24 December 2022 / Published: 2 January 2023
(This article belongs to the Section Urology & Nephrology)
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Abstract

Background and Objectives: Intradialytic hypotension (IDH) complicates 4 to 39.9% of hemodialysis (HD) sessions. Vessels’ reactivity disturbances may be responsible for this complication. Two-dimensional speckle tracking is used to assess arterial circumferential strain (CS) as a marker of the effectiveness of the cardiovascular response to the reduction of circulating plasma. Materials and Methods: The common carotid artery (CCA) and common iliac artery (CIA) CSs were recorded using ultrasonography in 68 chronically dialyzed patients before and after one HD session. Results: In patients with IDH episodes (n = 26), the CCA-CS was significantly lower both before (6.28 ± 2.34 vs. 4.63 ± 1.74 p = 0.003) and after HD (5.00 (3.53–6.78) vs. 3.79 ± 1.47 p = 0.010) than it was in patients without this complication. No relationship was observed between CIA-CS and IDH. IDH patients had a significantly higher UF rate; however, they did not differ compared to complication-free patients either in anthropometric or laboratory parameters. Conclusions: Patients with IDH were characterized by lower pre- and post-HD circumferential strain of the common carotid artery. The lower CCA-CS showed that impaired vascular reactivity is one of the most important risk factors for this complication’s occurrence.
Keywords: intradialytic hypotension; circumferential strain; vessel reactivity intradialytic hypotension; circumferential strain; vessel reactivity

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MDPI and ACS Style

Goździk, M.; Ustyniak, S.; Zawiasa-Bryszewska, A.; Płuciennik, A.; Nowicka, M.; Kaczmarska, M.; Stefańczyk, L.; Kurnatowska, I. Circumferential Strain as a Marker of Vessel Reactivity in Patients with Intradialytic Hypotension. Medicina 2023, 59, 102. https://doi.org/10.3390/medicina59010102

AMA Style

Goździk M, Ustyniak S, Zawiasa-Bryszewska A, Płuciennik A, Nowicka M, Kaczmarska M, Stefańczyk L, Kurnatowska I. Circumferential Strain as a Marker of Vessel Reactivity in Patients with Intradialytic Hypotension. Medicina. 2023; 59(1):102. https://doi.org/10.3390/medicina59010102

Chicago/Turabian Style

Goździk, Maciej, Sergiusz Ustyniak, Anna Zawiasa-Bryszewska, Agnieszka Płuciennik, Maja Nowicka, Magdalena Kaczmarska, Ludomir Stefańczyk, and Ilona Kurnatowska. 2023. "Circumferential Strain as a Marker of Vessel Reactivity in Patients with Intradialytic Hypotension" Medicina 59, no. 1: 102. https://doi.org/10.3390/medicina59010102

APA Style

Goździk, M., Ustyniak, S., Zawiasa-Bryszewska, A., Płuciennik, A., Nowicka, M., Kaczmarska, M., Stefańczyk, L., & Kurnatowska, I. (2023). Circumferential Strain as a Marker of Vessel Reactivity in Patients with Intradialytic Hypotension. Medicina, 59(1), 102. https://doi.org/10.3390/medicina59010102

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