Paper Information

Journal:   IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ)   APRIL 2008 , Volume 10 , Number 2; Page(s) 115 To 117.
 
Paper: 

SPECTRUM OF ECHOCARDIOGRAPHIC ABNORMALITIES IN END-STAGE RENAL DISEASE PATIENTS UNDERGOING HEMODIALYSIS

 
 
Author(s):  OSTOVAN M.A.*, RAEIS JALALI GH.A., MAZLOUM ZOHREH, ROUZBEH J., SAGHEB M.
 
* DEPARTMENT OF CARDIOLOGY, SCHOOL OF MEDICINE, SHIRAZ UNIVERSITY OF MEDICAL SCIENCES, SHIRAZ, IRAN
 
Abstract: 

Background: Cardiovascular disease is the most common cause of mortality in patients with end-stage renal disease. Determining the spectrum of echocardiographic abnormalities in these patients can help the prevention of mortality in this group of chronically ill patients.
Methods: 123 adult patients with chronic renal failure who underwent hemodialysis and echocardiography during February till November 2006 were enrolled. Complete 2-D, M-mode, Doppler and color Doppler study were performed by a single operator for each patient and the abnormalities were recorded.
Results: The mean age was 38.3
±13 and 61.5 % were female. The mean cardiac dimensions were right ventricular diastolic dimension: 1.89±0.05 cm, inter-ventricular septal dimension: 1.3±1.23 cm, enddiastolic dimension: 6.1±0.6 cm, endsystolic dimention: 3.84±2.5 cm, ejection fraction: 59.2±11 %, left ventricular mass: 238±90 gr. The prevalence of LV systolic dysfunction (EF < 50 %) was 20.3%, valvular regurgitation > mild, mitral regurgitation: 52.8%, aortic regurgitation: 24.4%, and tricuspid regurgitation: 35.8%. Valvular calcification was seen in 14.5% of the patients but no significant stenosis was noted. The prevalence of pulmonary hypertension (SPAP>30 mm Hg) was 14.7% and that of pericardial effusion (> mild) was 14.7%. Cardiac ejection fraction was lower in patients requiring more hemodialysis sessions (p value <0.036).
Conclusion: Echocardiographic abnormalities are very common in patients suffering from end-stage renal disease (ESRD), so periodic echocardiographic examination for diagnosis and treatment of cardiac abnormalities is highly recommended.

 
Keyword(s): ECHOCARDIOGRAPHY, END-STAGE RENAL DISEASE, HEMODIALYSIS
 
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