Excess epicardial fat mass misrepresented as cardiomegaly in dry‐weight assessment of a dialysis patient
Makaleler > Tam Makale · 2011
Yazarlar: Fatih KIRCELLI, Mehmet GUNDUZ, Ozkan GUNGOR, Ercan OK
Hemodialysis International, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Wos, 2011, cilt 16, ss 435-437
DOI: 10.1111/j.1542-4758.2011.00636.x
Özet
Obesity is a major health problem that has entered the nephrology community and is challenging our conventional management strategies. In this case report, we present a morbidly obese dialysis patient whom dry-weight assessment was disturbed by excess epicardial fat mass due to obesity. This case suggests that problems related to obesity seem not to be limited to dealing with obesity-associated kidney injury, chronic kidney disease and mortality, but also other concepts in nephrology such that, as described, excess epicardial fat mass related to morbid obesity in this patient erroneously suggested a high cardiothoracic index, and misled patient management. Interpretation of chest X-ray in dry-weight assessment should take into account the patient's body weight especially in obese cases and alternative diagnostic methods for correct determination of fluid status are highly needed.