Echocardiographic profile in patients under maintenance haemodialysis
Journal Title: IOSR Journal of Pharmacy (IOSRPHR) - Year 2015, Vol 5, Issue 2
Abstract
Objective: To assess the prevalence of cardiovascular abnormalities in patients under maintenance haemodialysis .Methods: Fourty six patients under maintenance haemodialysis were subjected to two-dimensional and Mmode echocardiography. All patients were evaluated clinically, biochemically and radiologically and werediagnosed as chronic kidney disease (CKD). The left ventricular ejection fraction (LVEF) were taken asmeasures of left ventricular (LV) systolic function. Diastolic function was determined by measuring E/A ratio byspectral doppler LV inflow velocity. Results: Out of 46 patients studied, there were 36 males (78.27%) and 10 females (21.73%). Hypertension(60.86%) was leading cause of CKD. Echocardiography showed that left ventricular hypertrophy (LVH) waspresent in 71%. Systolic dysfunction as measured by decreased LVEF (< 50%) was present in 26.86%. Diastolicdysfunction as denoted by E/A ratio of less than 1 was present in 43.47% of patients. Regional wall motion abnormality (RWMA) was present in 13.04%. Pericardial effusion was noted in 23.08% of patients. Valvularcalcification was noted in 10.86% patients. Mean left ventricular internal diameter in diastole was 34.30± 7.97 mm.Mean left atrium diameter was 38.57±5.83 mm. Conclusion: Patients under maintenance haemodialysis had higher prevalence of cardiovascular abnormalities and echocardiogram is a complementary, non-invasive, broadly used method in the assessment of heart structure and function, and can detect Cardiovascular abnormalities prior to clinical detection
Authors and Affiliations
DR Rajesh Debbarma*,DR Manas Gope**.
Keywords
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