Research Article

Ratio of Early Mitral Inflow Velocity to the Global Diastolic Strain Rate and Global Left Ventricular Longitudinal Systolic Strain Predict Overall Mortality and Major Adverse Cardiovascular Events in Hemodialysis Patients

Table 2

Comparison of baseline characteristics between patients with preserved GLS (≤−16%) or impaired GLS (>−16%).

CharacteristicsPreserved GLS (≤−16%) ()Impaired GLS (>−16%) ()

Age (year)0.565
Male gender (%)48.256.30.272
Dialysis vintage (year)6.9 (2.6–12.5)6.4 (2.5–10.2)0.266
Diabetes mellitus (%)34.561.3<0.001
Coronary artery disease (%)7.323.80.001
Cerebrovascular disease (%)5.515.00.027
Body mass index (kg/m2)0.133
Systolic blood pressure (mmHg)0.032
Heart rate (beat/min)0.055
(%)24.543.80.039
baPWV (cm/s)0.207
Cardiothoracic ratio (%)0.744
AoAC2 (0–5)3 (0–7)0.022
Laboratory parameters
 Albumin (g/dL)0.584
 Triglycerides (mg/dL)115.5 (88.8–211)136.5 (82–199.8)0.942
 Total cholesterol (mg/dL)0.938
 Hemoglobin (g/dL)0.028
 Creatinine (mg/dL)0.404
 Calcium-phosphorous product (mg2/dL2)0.016
 hs-CRP (mg/L)2.2 (0.9–5.4)3.1 (1.2–8.6)0.227
Medications
 ACE inhibitors or ARBs (%)19.126.30.240
β-Blockers (%)20.023.80.535
 Statins (%)20.025.00.412
Echocardiographic data
 LAVI (mL/m2)0.113
 LVMI (g/m2)0.026
 LVEF (%)<0.001
 Relative wall thickness0.788
 E/E’ ratio0.077
 E/A ratio0.155
 Deceleration time (ms)0.788
 E’ wave (cm/s)<0.001
 E’sr (1/s)<0.001
 E/E’sr ratio (cm)<0.001
 GLS (%)<0.001

ABI: ankle-brachial index; baPWV: brachial-ankle pulse wave velocity; AoAC: aortic arch calcification score; hs-CRP: high-sensitivity C-reactive protein; ACE: angiotensin-converting enzyme; ARB: angiotensin II receptor blocker; LAVI: left atrial volume index; LVMI: left ventricular mass index; LVEF: left ventricular ejection fraction; E: peak early transmitral filling wave velocity; E’: early diastolic velocity of lateral mitral annulus; E’sr: global diastolic strain rate; GLS: global left ventricular longitudinal systolic strain.