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Cardiac involvement in patients with Autosomal Dominant Polycystic Kidney Disease and normal renal function after six years of follow-up

Open Access
|Jul 2021

Figures & Tables

Changes of the echocardiographic data of ADPKD patients and control group during 6 years between the initial examination and the follow-up examination

ParameterADPKD group (n=37)Control group (n=40)p-valuea
LVEDd (cm)−0.08±0.450.00 (0.50)+0.06±0.32+0.10 (0.40)0.036
LVPWd (cm)+0.03±0.180.00 (0.20)−0.01±0.160.00 (0.2)0.49
IVSd (cm)+0.02±0.200.00 (0.20)+0.02±0.180.0 0 (0.2)0.84
AO (cm)+0.08±0.330.00 (0.40)+0.28±0.32***+0.20 (0.5)***0.0044
LA (cm)+0.12±0.400.00 (0.60)+0.23±0.38***+0.20 (0.6)***0.35
LVEF(%)+0.42±4.200.00 (2.50)+1.00±4.560.0 (5.0)0.44
LVM (g)+2.9±34.50.0 (32.1)+4.0±33.2+7.5 (33.9)0.26
LVMI-S (g/m2)+0.5±18.6− 2.3 (13.7)+1.4±17.5+1.7 (17.3)0.24
LVMI-H (g/m2.7)+0.7±7.70.0 (8.0)+0.8±8.0+1.9 (8.3)0.28

Anthropometric, clinical, and biochemical data of the ADPKD and control groups after 6-year follow-up

ParametersADPKD group n=37Control group n=40p-value *ADPKD vs controls
Age (years)44.63±10.9643.97±9.40.84
BMI (kg/m2)27.12±5.2725.94±4.420.44
WHR0.89±0.110.85±0.0900.040
BSA (m2)1.93±0.221.90±0.240.57
SBP (mmHg)130.43±19.62115.85±14.420.006
DBP (mmHg)89.51±14.2877.00±10.220.001
e-GFRCKD EPI [mL/min/1.73 m2]80.55±26.4114.41±26.500.038
Hypertension [n, (%)]30 (81.1%)7 (17.50%)<0.001
ACE inhibitors [n, (%)]26 (70.3%)5 (12.50%)<0.001
LVH-S ESH/ESC 2007 (%) **16.2 (%)2.5 (%)0.051
LVH-S ESH/ESC 2013 (%) ***35.1 (%)10 (%)0.012
LVH-H ESH/ESC 2017 (%)****27.0 (%)7.5 (%)0.032

Comparison of the M-mode echocardiographic data of ADPKD patients and control group depending on the gender after six-year follow-upp

IndexesADPKD womenn=24Control womenn=23p-value1ADPKD menn=13Control menn=17p-value2
LVEDd (cm)4.75 (0.40)4.60 (0.30)0.205.30 (0.4)5.10 (0.7)0.98
LVPWd (cm)1.00 (0.20)0.90 (0.20)0.0021.10 (0.4)1.00 (0.2)0.13
IVSd (cm)1.00 (0.30)0.80 (0.30)0.0181.1 (0.3)1.00 (0.2)0.048
AO (cm)2.85 (0.50)2.60 (0.40)0.0133.20 (0.5)3.20 (0.2)0.50
LA (cm)3.50 (0.60)3.10 (0.60)0.0153.80 (0.7)3.70 (0.4)0.98
LVEF (%)65.0 (5.0)70.0 (5.0)0.265.0 (5.0)65.0 (5.0)0.38
LVM (g)148.1 (62.2)122.3 (34.7)0.0016226.4 (89.6)199.3 (63.8)0.13
LVMI-S g/m283.3 (29.4)71.4 (17.4)0.0065104.6 (35.8)93.5 (38.2)0.13
LVMI-H g/m2.738.3 (12.8)30.3 (11.4)0.01848.0 (28.2)35.2 (14.9)0.084

Significant correlations of the echocardiographic data from follow-up examination with anthropometric, clinical and biochemical parameters from initial examination in ADPKD patients

Parameters at the initial examinationADPKD patients
LVEDdLALVPWdIVSdLVMI-SLVMI-H
FMFMFMFMFMFM
BMI +0.8^ +0.62 +0.68
WHR +0.91^ +0.59 +0.53 +0.66
SBP +0.67*+0.58* +0.44+0.64+0.44 +0.59
DBP +0.67*+0.50 +0.50+0.63 +0.57
Fasting glucose
Fasting insulin +0.53*
Fasting C-peptide +0.67^+0.56
HOMA%S −0.48−0.56 −0.61
Cholesterol-HDL−0.50 −0.46
TG +0.42+0.67* −0.56*
UA +0.42+0.56−0.47 +0.41
e-GFRCKD EPI −0.52−0.77* −0.65
Age +0.7 +0.019

Correlations of the delta echocardiographic data (the difference between the follow-up and the initial measurements) with anthropometric, clinical and biochemical parameters from the initial examination in the ADPKD patients

Parameters at the initial examinationDelta echocardiographic data in the ADPKD patients
LVPWdIVSd
BMI+0.03−0.44^
WHR+0.10−0.33+
SBP+0.44*−0.06
DBP+0.36++0.08
HbA1c−0.15−0.34+
TG+0.02−0.43*
e-GFRCKD EPI−0.30+0.14
Language: English
Page range: 502 - 510
Submitted on: May 28, 2020
Accepted on: Feb 26, 2021
Published on: Jul 1, 2021
Published by: Hirszfeld Institute of Immunology and Experimental Therapy
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Maria Pietrzak-Nowacka, Krzysztof Safranow, Małgorzata Czechowska, Grażyna Dutkiewicz, Ewa Gątarska, Kazimierz Ciechanowski, published by Hirszfeld Institute of Immunology and Experimental Therapy
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.