In ESRD patients on maintenance hemodialysis, LV diastolic dysfunction (51.2%) and LVH (48%) were common, and LVH was significantly more prevalent in patients with Hb <10 g/dL (71.4% vs 14.3%, p=0.002).
Observational (n=35)
No
Copyright: © 2014 Shivendra Singh, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Objective: To evaluate and analyze the echocardiographic changes in end stage renal disease patients on maintenance hemodialysis. Material and methods: End stage renal disease (ESRD) patients on maintenance hemodialysis for at least 3 months were included in the study. We performed M-mode echocardiography in 35 ESRD patients during inter-dialytic period usually after 18 hours, without obvious clinical evidence of coronary artery disease, valvular heart disease, congenital heart disease and pericardial effusion. Results: Echocardiography revealed LV dilation and diastolic dysfunction in 18 (51.2%), left ventricular hypertrophy (LVH) in 17 (48%), systolic dysfunction and pericardial effusion in 10 (28.57%) and 6 (17.14%) patients respectively. RWMA was present in 8.5 % and valvular calcification was not seen in our patient group. In sub-group of patients with Hb10 gm%, LVH was present in 71.42 % (15) vs 14.28 % (2) in patient group with Hb ≥ 10 gm% (p=0.002). Hypertensive patient population also had higher prevalence of LVH (51.85%)] and systolic dysfunction and RWMA was absent in normotensive group. Conclusion: LV diastolic dysfunction and hypertrophy were most common echocardiographic findings. There was statistically significant correlation between anemia and presence of LVH and positive correlation between presence of hypertension and LVH.
Shivendra Singh (Wed,) conducted a observational in End stage renal disease (n=35). Maintenance hemodialysis was evaluated on Echocardiographic changes (LV dilation, diastolic dysfunction, left ventricular hypertrophy, systolic dysfunction, pericardial effusion). In ESRD patients on maintenance hemodialysis, LV diastolic dysfunction (51.2%) and LVH (48%) were common, and LVH was significantly more prevalent in patients with Hb <10 g/dL (71.4% vs 14.3%, p=0.002).
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