{"product_id":"reversible-systolic-dysfunction-in-chronic-kidney-disease-von-srilakshmi-adhyapak-und-shamanna-s-iyengar","title":"REVERSIBLE SYSTOLIC DYSFUNCTION IN CHRONIC KIDNEY DISEASE","description":"\u003cp\u003eThere is a hypothesis that a subgroup of patients  with reversal of systolic dysfunction following  hemodialysis have fluid overload. However, the  underlying pathology has not been understood in those  patients without significant fluid overload.  Inflammatory markers have been found to be raised in  chronic kidney disease, which prompts the theory for  an underlying inflammatory pathology as a cause of  reversible cardiac dysfunction in this group of  patients.   We studied 52 patients with chronic kidney disease.  There were 29  patients with systolic dysfunction. Twenty three  patients with preserved systolic function, had  diastolic dysfunction. Of the 29 patients with  systolic dysfunction, 10 patients had significant  improvement in NYHA functional class, left  ventricular dimensions, left  ventricular ejection fraction . None of the patients had significant  changes in dry weight. These patients had the highest  baseline serum levels of troponin I  which  decreased significantly with recovery of cardiac  function along with the c reactive protein levels.   Those patients with C  reactive protein greater than median change had  significant improvements in LVIDs and EF.\u003c\/p\u003e\u003cdiv class=\"aw-variant-hidden-subtitle-div\" id=\"aw-variant-subtitle-9783843384049\"\u003e\u003ch3\u003eRecovery of cardiac form and function in dilated uremic cardiomyopathy-An inflammatory mechanism?\u003c\/h3\u003e\u003c\/div\u003e","brand":"Autorenwelt Shop","offers":[{"title":"Softcover - 9783843384049","offer_id":39497145712733,"sku":"9783843384049","price":49.0,"currency_code":"EUR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0940\/0622\/files\/7b00d1aa-1d68-4201-8e68-c332856bc340.jpg?v=1769668608","url":"https:\/\/shop.autorenwelt.de\/products\/reversible-systolic-dysfunction-in-chronic-kidney-disease-von-srilakshmi-adhyapak-und-shamanna-s-iyengar","provider":"Autorenwelt Shop","version":"1.0","type":"link"}