|To study the Echocardiographic abnormalities in patients of Chronic Kidney Disease who have undergone haemodialysis|
|Shiv Charan, Rakesh Chander, Bhupinder Singh , Sathish Kumar, Anshul Bhateja|
Aims and objectives: To evaluate and analyse the echocardiographic abnormalities in patients of chronic kidney disease who have undergone haemodialysis. Material and methods: About 50 patients of ESRD who were on maintenance haemodialysis in GNDH hospital, Amritsar were taken into study. M mode Echocardiography was performed in the interdialytic period at least after 18 hours post dialysis in those patients without any obvious clinical evidence of coronary heart disease, congenital or valvular heart disease or pericardial effusion. Results: Echocardiography revealed Diastolic dysfunction in 64% patients and LVH in 62% patients, systolic dysfunction in 30% patients, RWMA in 18% patients, pericardial effusion in 8% patients and valvular calcification in 16% patients. In a subgroup of patients with Hb<10 g/dL, Diastolic dysfunction was present in 72.5% patients vs 30% in the patient group with Hb≥10g/dL (p=0.012). Similarly Diastolic dysfunction was significantly higher in hypertensive group compared to normotensive group (p=0.03). Conclusions: Diastolic dysfunction and LVH were the most common echocardiographic abnormalities noted. There is a significant correlation between anemia and presence of diastolic dysfunction, Similarly significant positive correlation exist between hypertension and diastolic dysfunction in ESRD patients. Keywords: ESRD; Echocardiography; MHD; LVH ; Diastolic dysfunction; anemia.
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