E.V. MAKAROV¹, A.N. MAKSUDOVA², I.D. SHAKIROV¹

¹Clinic for Modern Medical Service HD, 2a Mavlyutov Str., 420101 Kazan, Russian Federation

²Kazan State Medical University, 49 Butlerov Str., 420012 Kazan, Russian Federation

Makarov E.V. — nephrologist, tel. +7-927-039-15-49, e-mail: [email protected]

Maksudova A.N. — D. Med. Sc., Associate Professor of the Department of Hospital Therapy, tel. +917-245-14-51, e-mail: [email protected]

Shakirov I.D. — Chief Doctor of Dialysis Center, tel. +7-917-299-76-73, e-mail: [email protected]

The article presents results of studying the features of miocardium remodeling in 116 patients on chronic hemodialysis. The obtained data show the differences in structural-functional changes in myocardium depending on the presence or absence of the water-excretion function. Patients without dieresis have more prominent diastolic dysfunction of the left ventricular, manifested in the increased diastolic volume (p<0,05) and left atrium enlargement(p<0,01). Patients with preserved water-excretion function showed hypertrophy processes with significant enlargement of myocardial mass (p<0,05). Ultrafiltration volume has a significant effect on structural-functional parameters of heart, especially in patients without water-excretion function.

Key words: hemodialysis, left ventricular hypertrophy, diuresis, ultrafiltration.

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