One year of hemodialysis significantly increased the prevalence of echocardiographic abnormalities in patients with chronic kidney disease, with more pronounced effects in diabetic patients.
Cross-Sectional (n=150)
No
Does the first hemodialysis session alter echocardiographic findings in patients with chronic kidney disease?
The first hemodialysis session is associated with acute worsening of echocardiographic parameters in patients with chronic kidney disease, particularly those with comorbid diabetes.
p-value: p=<0.05
BACKGROUND: The incidence of cardiac morbidity and mortality is high in patients treated with hemodialysis (HD). The aim of this study was to evaluate the relationship between HD and the echocardiographic findings in patients with chronic kidney disease (CKD). METHODS: Between 2012 and 2014, 150 patients with CKD. The echocardiographic data were done based on American Society of Cardiology (ASE). Measurement method for Ejection Fraction was E balling and for Diastolic Function was Tissue Doppler. Anemia, thyroid conditions and dialysis through an arteriovenous fistula or permanent catheter of dialysis for the patients are not considered. RESULTS: The mean age at diagnosis for the patients was 57.8 years, 52.7% were males. Out of 150 patients, 112 patients (74.7%) had diabetes and 117 patients (78%) had a history of hypertension. The prevalence of all echocardiographic findings was more after the first dialysis compared with before the first dialysis in diabetic patients (P0.05). CONCLUSIONS: According to the findings of this study, seems that more accurate selection of patients for dialysis, paying special attention to hemodynamic change during dialysis, patient education about diet and better control of uremia and diabetes is essential.
Omrani et al. (2016) conducted a cross-sectional in Chronic kidney disease (n=150). Hemodialysis vs. Before first hemodialysis was evaluated on Prevalence of echocardiographic abnormalities (p=<0.05). One year of hemodialysis significantly increased the prevalence of echocardiographic abnormalities in patients with chronic kidney disease, with more pronounced effects in diabetic patients.