Abstract:
Objective To investigate the incidence and risk factors of left ventricular hypertrophy (LVH) in non-dialysis patients with chronic kidney disease (CKD), and to analyze the value of systemic immune inflammation index (SII) in evaluating LVH.
Methods A total of 196 non-dialysis patients with CKD were selected as study subjects (CKD group). According to gender, 196 cases were divided into male CKD group (n=117) and female CKD group (n=79), and 40 healthy subjects in the same period were selected as control group. The laboratory indexes and cardiac ultrasound data of three groups were collected and analyzed. The correlation between left ventricular mass index (LVMI) and other indexes was analyzed. Logistic regression was used to analyze the risk factors of LVH and the relationship between SII and LVH(P<0.05).
Results The prevalence of LVH in male and female was 31.62% and 50.63%, respectively. Increased systolic blood pressure (SBP), decreased hemoglobin (Hb) and increased SII were independent risk factors for LVH in male patients, while older age, decreased Hb and increased uric acid (UA) were independent risk factors for LVH in female patients.
Conclusion LVH is common in non-dialysis patients with CKD, and there are more female patients. Anemia is a risk factor for LVH in all CKD patients while SII is a risk factor for LVH in men.
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