Abnormal echocardiographic findings were more prevalent in chronic kidney disease patients on hemodialysis compared to those not on hemodialysis (81.2% vs 70.0%).
Cross-Sectional (n=124)
No
Are there differences in echocardiographic cardiovascular changes between chronic kidney disease patients on hemodialysis versus those not on hemodialysis?
Chronic kidney disease patients on hemodialysis have a higher prevalence of abnormal echocardiographic findings, including left ventricular hypertrophy and valvular disease, compared to those not on hemodialysis.
Tasa de eventos absoluta: 81.2% vs 70%
Abstract Background: Chronic kidney disease (CKD) is a major public health problem worldwide with increased incidence and prevalence. It is defined as irreversible deterioration of renal function for more than 3 months by structural or functional abnormalities resulting in impairment of excretory, metabolic, and endocrine functions, leading to a clinical syndrome of uremia. Cardiovascular disease is the main cause of mortality and morbidity in chronic kidney patients; it is about 10- to 30-fold more than in the general population. Most patients succumb to cardiac disease before reaching end-stage, so there should be a focus on the prevention of cardiovascular complications in the early stages. Objectives: To study various cardiovascular changes in chronic kidney patients on hemodialysis and on non-hemodialysis with the help of two-dimensional echocardiography. Materials and Methods: A cross-sectional study was conducted during the period from March 12 to July 10, 2023, at Al-Zahraa Dialysis Center in Al-Diwaniyah teaching hospital. The study included 124 patients (64 dialysis group and 60 nondialysis group). A history and examination were performed for every patient, including measuring left ventricular systolic dysfunction, left ventricular diastolic dysfunction, left ventricular wall thickness, valves, and ejection friction, and data was analyzed using SPSS version 26. Results: The mean age and body mass index were significantly higher among the dialysis group. The family history of CKD, diabetes mellitus, and smoking history were risk factors a more significant in dialysis group than nondialysis; left ventricular hypertrophy (LVH) and valvular disease were more significant in dialysis group. Only 70% of patients in the nondialysis group had abnormal echo findings, whereas 81.2% of patients in the dialysis gsroup had abnormal echo findings. Conclusion: Only 30% of patients on nondialysis group had normal echo finding while 18.7% of patients on dialysis group had normal echo finding.
Kamal et al. (Thu,) conducted a cross-sectional in Chronic kidney disease (n=124). Hemodialysis vs. Non-hemodialysis was evaluated on Abnormal echocardiographic findings. Abnormal echocardiographic findings were more prevalent in chronic kidney disease patients on hemodialysis compared to those not on hemodialysis (81.2% vs 70.0%).