A STUDY OF ECHOCARDIOGRAPHIC CHANGES IN ESRD PATIENTS ON  HEMODIALYSIS AT TERTIARY CARE CENTRE BHOPAL

SUDHA ALAWE; DR R.S.MEENA; DR R.R.BARDE

Volume : V, Issue : III, March - 2016

A STUDY OF ECHOCARDIOGRAPHIC CHANGES IN ESRD PATIENTS ON HEMODIALYSIS AT TERTIARY CARE CENTRE BHOPAL

Sudha Alawe, Dr R. S. Meena, Dr R. R. Barde

Abstract :

OBJECTIVES: The objective of this study to assessment and analysis of echocardiographic changes in end stage renal disease patients on maintenance hemodialysis. MATERIAL AND METHODS this is Prospective study conducted in dialysis unit department of medicine Gandhi medical college Bhopal .we studied 50 patients with end stage renal disease on hemodialysis irrespective of etiology.we collected basic information of patients and performed relevant hematological, biochemical and radiological investigations like Electrocardiography and Echocardiography (2D & M mode). patients was labled as stage 5 CKD(ESRD) when GFR was less than 15 ml/min/1.73m2as per CKD-EPI formula and who were on MHD. RESULTS: 50 Patients undergoing hemodialysis were included in our study. Of them Echocardiography finding shown LV dilation and diastolic dysfunction in 25(50%), left ventricular hypertrophy (LVH) in 28(56%), systolic dysfunction and pericardial effusion in 14(28%) and 6(12%) patients respectively. RWMA was present in5( 10%) and Valvular calcification was seen in 3(6%) patient. In sub-group of patients with Hb<10 gm%, LVH was present in 24 (77.41% 0 vs 5 ( 26.31% )in patient group with Hb ≥ 10 gm% (p <0.01). Other Sub Group of Patients with BP > 140/90mmhg, LVH Was Present In 25( 65.78 %) vs 4 (33.33 %) 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: in our studied we concluded that LV diastolic dysfunction and hypertrophy were most common echocardiographic findings. We also found statistically significant correlation between anemia and presence of LVH and positive correlation between presence of hypertension and LVH.