{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T20:35:10Z","timestamp":1790800510259,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,1,24]],"date-time":"2018-01-24T00:00:00Z","timestamp":1516752000000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81371576"],"award-info":[{"award-number":["81371576"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Right ventricular (RV) dysfunction is a major cause of death in patients undergoing maintenance hemodialysis (MHD). We used 3\u2010dimensional speckle\u2010tracking echocardiography (3DSTE) to evaluate long\u2010term impacts of MHD on RV function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Hypothesis<\/jats:title><jats:p>In this study, RV dysfunction in MHD patients will be revealed and studied in depth by 3DSTE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Echocardiography was performed on 110 consecutively enrolled individuals: 30 controls and 80 patients with MHD. Conventional echocardiographic parameters and 3DSTE parameters were obtained and compared between groups. Univariate and multivariate logistic regression analysis identified independent predictors of intradialytic hypotension (IDH).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with the control group, RV end\u2010diastolic volume (RVEDV) was markedly enlarged (46.1\u2009\u00b1\u200911.8\u2009mL\/m<jats:sup>2<\/jats:sup> vs 42.3\u2009\u00b1\u20098.6\u2009mL\/m<jats:sup>2<\/jats:sup>; <jats:italic>P<\/jats:italic>\u2009=\u20090.047), whereas RV ejection fraction (RVEF) was significantly lower in the MHD group (50.6%\u2009\u00b1\u20095.8% vs 55.2%\u2009\u00b1\u20093.7%; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). RV global, septal, and lateral wall longitudinal strains were also decreased in the MHD group (\u221218.2\u2009\u00b1\u20093.6 vs \u221222.6\u2009\u00b1\u20094.3%; \u221213.1\u2009\u00b1\u20093.8 vs \u221217.5\u2009\u00b1\u20095.5%; and \u221223.4\u2009\u00b1\u20094.7 vs \u221227.7\u2009\u00b1\u20094.0%, respectively; all <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). RVEF (odds ratio [OR]: 0.72, 95% confidence interval [CI]: 0.51 to 1.01, <jats:italic>P<\/jats:italic>\u2009=\u20090.038) and history of diabetes (OR: 11.14, 95% CI: 1.16 to 106.71, <jats:italic>P<\/jats:italic>\u2009=\u20090.036) were 2 independent predictors of IDH. Ultrafiltration rate was an independent factor associated with RVEF (\u03b2\u2009=\u2009\u22120.01, 95% CI: \u22120.019 to 0.001, <jats:italic>P<\/jats:italic>\u2009=\u20090.039).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>RVEF by 3DSTE could be an important predictor of IDH in MHD patients, and lower ultrafiltration rate was protective for RVEF. 3DSTE may have potential in RV evaluation and risk stratification in MHD patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.22857","type":"journal-article","created":{"date-parts":[[2018,1,24]],"date-time":"2018-01-24T12:35:08Z","timestamp":1516797308000},"page":"87-95","source":"Crossref","is-referenced-by-count":11,"title":["Long\u2010term impacts of hemodialysis on the right ventricle: Assessment via 3\u2010dimensional speckle\u2010tracking 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China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Nephrology Zhongshan Hospital of Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lili","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Echocardiography, Zhongshan Hospital of Fudan University, Shanghai, China; Shanghai Institute of Cardiovascular Diseases Shanghai Institute of Medical Imaging  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cuizhen","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Echocardiography, Zhongshan Hospital of Fudan University, Shanghai, China; Shanghai Institute of Cardiovascular Diseases Shanghai Institute of Medical Imaging  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianhong","family":"Shu","sequence":"additional","affiliation":[{"name":"Department of Echocardiography, Zhongshan Hospital of Fudan University, Shanghai, China; Shanghai Institute of Cardiovascular Diseases Shanghai Institute of Medical Imaging  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,24]]},"reference":[{"issue":"12","key":"e_1_2_6_2_1","first-page":"S16","article-title":"Epidemiology of cardiovascular disease in chronic renal disease","volume":"9","author":"Foley RN","year":"1998","journal-title":"J Am Soc Nephrol."},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1159\/000355789","article-title":"Chronic renal disease and risk of cardiovascular morbidity\u2010mortality","volume":"39","author":"Santoro A","year":"2014","journal-title":"Kidney Blood Press 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