Left ventricular hypertrophy in renal failure

Cardiovascular disease is the leading cause of death for patients with chronic kidney disease. The objectives are to determine the prevalence and risk factors of HBV in the different stages of chronic kidney disease. Patients and methods. The study is descriptive cross-sectional (January 2008 to June 2012). 244 chronic renal failure patients are included. Left ventricular mass was assessed by echocardiography, LVH was defined by an LVMI (MVG / body surface area), greater than 115 g / m2 in men and greater than 95 g / m2 in women. The prevalence of HBV is 59.8%, present in the early stages of CRF and increasing with declining kidney function. It is of a mixed type and except for age, it is linked to modifiable factors: systolic hypertension, hyperparathyroidism, diabetes and decline in GFR. One quarter of patients have elevated left ventricular pressures. NT-ProBNP is a useful marker of diastolic dysfunction. Prevention of HBV involves the early correction of cardiovascular risk factors that may or may not be specific to uremia.