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The Heart in Acute Glomerulonephritis: An Echocardiographic Study.

Journal of the Korean Pediatric Society 1981;24(7):659-665.
Published online July 15, 1981.
The Heart in Acute Glomerulonephritis: An Echocardiographic Study.
Eun Hee Choi, In Hyun Cho, Sun Ja Lee, Dong Hyuck Keum
Department of Pediatrics, Korea General Hospital, Seoul, Korea.
급성 사구체신염환아에서의 심에코적 관찰
최은희, 조인현, 이선자, 금동혁
고려병원 소아과
Abstract
Patients with acute glomerulonephritis often are seen with signs suggesting heart failure. Whether these signs are due to fluid overload secondary to kidney damage only, or whether there is associated myocardial damage has not been elucidated. Twenty-two children with acute glomerulonephritis were studied by echocardiography during edematous phase of disease. Left ventricular function was normal in all childrem. The most consistent finding was enlargement of left atrium and left ventricle during the edematous phase. There was no correlation between blood pressure and the echocardiographic findings. This study suggest that signs of heart failure in acute glomerulonephritis are not due to myocardial damage but probably reflect fluid overload.
Key Words: Heart, Acute, Glomerulonephritis, Echocardiographic, Study


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