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. 2012 Dec;3(6):271-276.
doi: 10.4021/cr241e. Epub 2012 Nov 20.

Is There any Time Dependant Echocardiographical Finding in Chronic Hemodialysis Patients?

Mohsen Abbasnezhad  1 , Hamid Tayyebi-Khosroshahi  2 , Amin Ghanbarpour  3 , Afshin Habibzadeh  3
Affiliations

Is There any Time Dependant Echocardiographical Finding in Chronic Hemodialysis Patients?

Mohsen Abbasnezhad et al. Cardiol Res. 2012 Dec.

Abstract

Background: Cardiac disease is the main cause of death in hemodialysis patients. In hemodialysis patients cardiovascular complications are great clinical challenge, and function, shape and left ventricle abnormalities are present in 70 - 80 percent of dialysis patients. Changes in heart function occur in hemodialysis period and are effective in patient's prognosis. In this study we aim to evaluate time dependant clinical and echocardiographical findings in chronic hemodialysis patients.

Methods: In a cross-sectional study, 100 adult hemodialysis patients (51% male and 49% female with mean age 52.13 ± 12.69 years) visiting dialysis unit in Imam Reza and Madani hospitals between years 2010 and 2011 were studied in group 1 (hemodialysis ≤ 6 months), group 2 (hemodialysis for 6 months to 3 years) and group 3 (hemodialysis ≥ 3 years). Demographic, laboratory and echocardiographic findings were compared between groups.

Results: Among demographic findings, group 3 had significantly higher diastolic blood pressure and weight gain and was older than other two groups (P < 0.05). By increase in hemodialysis period, patients had higher blood urea nitrogen and lower serum albumin levels (P < 0.05). Potassium level in group 2 was significantly higher than group 3 and that was higher than group 1. There was no difference between groups in left ventricular hypertrophy (LVH), left atrium dilatation, ejection fraction and mitral insufficiency. Diastolic dysfunction increased in line with increase in hemodialysis period (P = 0.007). Hemodialysis period was higher in patients with LVH than those without (34.80 ± 9.2 months versus 18.51 ± 2.22 months, P = 0.01).

Conclusion: In hemodialysis patients, diastolic dysfunction increases by the hemodialysis time (years). LVH and LA dilation also increase during time, but not significantly.

Keywords: Echocardiography; Hemodialysis; Left ventricle hypertrophy.

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Figure 1
Mean hemodialysis period.
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References

    1. Raine AE, Margreiter R, Brunner FP, Ehrich JH, Geerlings W, Landais P, Loirat C. et al. Report on management of renal failure in Europe, XXII, 1991. Nephrol Dial Transplant. 1992;7(Suppl 2):7–35. - PubMed
    1. Jardine AG, McLaughlin K. Cardiovascular complications of renal disease. Heart. 2001;86(4):459–466. doi: 10.1136/heart.86.4.459. - DOI - PMC - PubMed
    1. Kocheril AG. Arrhythmia issues in patients with renal disease. Semin Nephrol. 2001;21(1):57–65. doi: 10.1053/snep.2001.18379. - DOI - PubMed
    1. Atar I, Konas D, Acikel S, Kulah E, Atar A, Bozbas H, Gulmez O. et al. Frequency of atrial fibrillation and factors related to its development in dialysis patients. Int J Cardiol. 2006;106(1):47–51. doi: 10.1016/j.ijcard.2004.12.048. - DOI - PubMed
    1. Das M, Aronow WS, McClung JA, Belkin RN. Increased prevalence of coronary artery disease, silent myocardial ischemia, complex ventricular arrhythmias, atrial fibrillation, left ventricular hypertrophy, mitral annular calcium, and aortic valve calcium in patients with chronic renal insufficiency. Cardiol Rev. 2006;14(1):14–17. doi: 10.1097/01.crd.0000148162.88296.9f. - DOI - PubMed

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