Echocardiographic Assessment of Cardiac Dysfunction in Patients of Chronic Kidney Disease on Maintenance Hemodialysis

  • Shyam Kumar BK Nepalgunj Medical College & Teaching Hospital, Kohalpur, Banke, Nepal
  • S.D. Bassi Nepalgunj Medical College & Teaching Hospital, Kohalpur, Banke, Nepal
  • Alok Kumar Sah Nepalgunj Medical College & Teaching Hospital, Kohalpur, Banke, Nepal
  • Devendra Acharya Nepalgunj Medical College & Teaching Hospital, Kohalpur, Banke, Nepal
Keywords: CKD, Diastolic dysfunction, Echocardiography, MHD, HB%, LVH

Abstract

Objectives: The Aim of this study to assess and analyze the echocardiographic changes in chronic kidney disease patients on maintenance hemodialysis.

Material and methods: We Performed Prospective study of echocardiographic changes in chronic kidney disease (CKD) patients undergoing maintenance hemodialysis at our institute. We performed M-mode echocardiography in 80 CKD patients without obvious clinical evidence of coronary artery disease, Valvular heart disease, congenital heart disease. Data was collected from November 2018 to Nov 2019.

Results: 80 Patients Undergoing Hemodialysis were included in our study, out of them Echocardiography finding shown LV dilation and diastolic dysfunction in 39 (48.75%), left ventricular hypertrophy (LVH) in 41 (51.25%), systolic dysfunction and pericardial effusion in 22 (27.5%) and 11 (13.75%) patients respectively. RWMA was present in 10% and Valvular calcification was seen in 5 patients. In sub-group of patients with Hb<10 gm%, LVH was present in 32 (78.05%) vs 9 (21.95%) in patient group with Hb ≥ 10 gm% (p <0.01). Other Sub Group of Patients with BP > 140/90mmhg, LVH Was Present in 34 (82.92%) vs 7 (17.08%) in patients group with BP< 140/90 mm hg (p=0.02). In both sub group p value for systolic dysfunction, RWMA & pericardial effusion is statistically not significant.

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.  

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Author Biographies

Shyam Kumar BK, Nepalgunj Medical College & Teaching Hospital, Kohalpur, Banke, Nepal

Assistant Professor, Department of Medicine

S.D. Bassi, Nepalgunj Medical College & Teaching Hospital, Kohalpur, Banke, Nepal

Department of Medicine

Alok Kumar Sah, Nepalgunj Medical College & Teaching Hospital, Kohalpur, Banke, Nepal

Department of Medicine

Devendra Acharya, Nepalgunj Medical College & Teaching Hospital, Kohalpur, Banke, Nepal

Department of Medicine

Published
2019-12-31
How to Cite
BK, S., Bassi, S., Sah, A., & Acharya, D. (2019). Echocardiographic Assessment of Cardiac Dysfunction in Patients of Chronic Kidney Disease on Maintenance Hemodialysis. Journal of Nepalgunj Medical College, 17(2), 35-38. https://doi.org/10.3126/jngmc.v17i2.28759
Section
Original Articles