Left heart function and strain for predicting change in hemoglobin levels in pediatric kidney transplantation recipients Article Swipe
Shufan Yue
,
Fei Xiao
,
Rui Fan
,
Wěi Li
,
Donghong Liu
,
Fengjuan Yao
,
Hong Lin
,
Chenglin Wu
,
Longshan Liu
,
Changxi Wang
,
Jun Li
,
Cuiling Li
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3389/fped.2025.1452928
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3389/fped.2025.1452928
Introduction Anemia is prevalent after kidney transplantation (KTx) and is associated with reduced graft survival. The associations between temporal changes in hemoglobin (Hb) level in the early posttransplant period with left ventricular (LV) and atrial (LA) function and strain are unknown. Methods The study cohort included 71 successful pediatric KTx recipients between January 2021 and September 2022. Echocardiography was used to evaluate the cardiac structure, function, and strain both before and after KTx. Temporal changes in Hb values within 6 months after KTx were evaluated. According to the LV mass index (LVMI), recipients were divided into a left ventricular hypertrophy (LVH) group and a non-LVH group. Results Before KTx, the LVH group had a lower level of Hb and a higher incidence of anemia than the non-LVH group. However, this difference between the groups disappeared after KTx. Changes in Hb were faster in the LVH group than in the non-LVH group. There was a negative association between the absence of an Hb increase and diastolic blood pressure, the LVMI, early diastolic mitral annulus velocity to early diastolic filling wave ratio (E/E’), and the left atrial emptying volume index (LAEVI), while there was a positive association between LV ejection fraction (LVEF), LV global longitudinal strain, and LA strain. The LVMI and changes in LVEF showed a negative correlation, whereas changes in the LAEVI showed a positive correlation with the absence of Hb increase during the early period after KTx. Conclusion Children with LVH have a lower level of Hb before KTx and a higher level of Hb increase in the early postoperative period following KTx. LVMI and changes in LVEF and LAEVI have predictive value in absence of Hb increase in pediatric KTx recipients.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fped.2025.1452928
- https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2025.1452928/pdf
- OA Status
- gold
- References
- 28
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4408686626
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4408686626Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fped.2025.1452928Digital Object Identifier
- Title
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Left heart function and strain for predicting change in hemoglobin levels in pediatric kidney transplantation recipientsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-03-21Full publication date if available
- Authors
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Shufan Yue, Fei Xiao, Rui Fan, Wěi Li, Donghong Liu, Fengjuan Yao, Hong Lin, Chenglin Wu, Longshan Liu, Changxi Wang, Jun Li, Cuiling LiList of authors in order
- Landing page
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https://doi.org/10.3389/fped.2025.1452928Publisher landing page
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https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2025.1452928/pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2025.1452928/pdfDirect OA link when available
- Concepts
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Medicine, Cardiology, Internal medicine, Left ventricular hypertrophy, Ejection fraction, Transplantation, Diastole, Blood pressure, Heart failureTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.ventricular | 31, 98 |
| abstract_inverted_index.Introduction | 0 |
| abstract_inverted_index.associations | 16 |
| abstract_inverted_index.correlation, | 216 |
| abstract_inverted_index.longitudinal | 202 |
| abstract_inverted_index.postoperative | 260 |
| abstract_inverted_index.posttransplant | 27 |
| abstract_inverted_index.transplantation | 6 |
| abstract_inverted_index.Echocardiography | 57 |
| cited_by_percentile_year | |
| corresponding_author_ids | https://openalex.org/A5101569019, https://openalex.org/A5100361636 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 12 |
| corresponding_institution_ids | https://openalex.org/I157773358, https://openalex.org/I4210128921 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8299999833106995 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.13706883 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |