Why the study?
ECG abnormalities are common in renal disease, can relate to different causes of CKD, and may be associated with various clinical outcomes.
What are the common ECG abnormalities in patients with chronic kidney disease compared to those without?
What are the common ECG abnormalities in patients with chronic kidney disease compared to those without?
ECG abnormalities such as ischemia, q-waves, and left ventricular hypertrophy are common in patients with CKD and ESRD, supporting the recommendation for routine ECG screening in this population.
ECG abnormalities appear common in CKD; leaves open whether routine screening improves outcomes.
Chronic Kidney disease (CKD) is a well-established major public health problem globally. CKD has been associated with increased morbidity, mortality, and rate of hospitalization, CKD is associated with increased risk of CVDs and associated mortality. Patients with CKD have multiple comorbidities and they have well-established risks that increase the risk of CVDs that may progress to end-stage renal disease (ESRD), where the kidneys are as of now not ready to satisfy the needs of the body. Both CKD and ESRD are related to an expanded gamble of cardiovascular infections (CVDs). Electrocardiographic (ECG) changes are extremely normal in patients with renal illness, particularly in those cases who have laid out CVDs. The ECG irregularities can have a likely relationship with the different reasons for CKD and can be related to different clinical results. This study aims to compare ECG abnormalities in 310 patients with CKD compared to 111 patients without CKD. The average age of the patients was 58±13.2 years with 88 females and 199 males and 250 patients having end-stage renal failure (ESRD). The resulting data showed that ECG changes revealed that 21 patients had ischemia changes (IHD), 15 had q-wave positive changes, and 65 had left ventricular hypertrophy (LVH). In conclusion, the ECG is recommended as a routine investigation in CKD/ESRD patients with DM and HTN. Moreover, evaluations should be performed based on physical examination and plans of care even when the ECG finding is negative.
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Slimani et al. (2023) studied this question.
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