A Study of Clinical Profile in Chronic Kidney Disease with Special Reference to Echo and Electrocardiography

Abstract

Introduction: Cardiovascular causes contribute toward a large proportion of increased morbidity and mortality in patients with chronic kidney disease (CKD). Cardiac disease is the major cause of death in the CKD population. Materials and methods:The present study was undertaken for documentation of various cardiovascular abnormalities in 50 patients with CKD at RajaRajeswari Medical College & Hospital, Bengaluru, Karnataka, India, using electrocardio graphy (ECG) and echocardiography as investigation proce dures. The present study is a descriptive crosssectional study and data collected were analyzed by frequency, percentage, chisquared test, and pvalue which is the left ventricular (LV) diastolic dysfunction. Pericardial effusion and conduction abnormalities are more common in patients of CKD. Results:The ECG was normal in 12 out of 50 cases of CKD (24%), left ventricular hypertrophy (LVH) present in 14 out of 50 (28%), left axis deviation in 8 out of 50 (16%), conduction disturbances in 11 out of 50 (22%), ischemia in 10 out of 50 (20%), arrhythmias in 1 out of 50 (2%), and P mitrale was found in 3 out of 50 cases (6%). The most common ECG change asso ciated with cases with CKD was LVH (28%). The most common abnormality found on echocardiography in CKD cases under the study was LVH (56%) followed by diastolic dysfunction (38%). Conclusion:The LVH is the commonest abnormality observed in CKD both on ECG and echocardiography. Echocardiography is a more sensitive diagnostic procedure to detect LVH. After LVH other most common abnormalities found on Echocardiography in CKD patients on haemodialysis were pericardial effusion and conduction abnormalities.

A CROSS SECTIONAL STUDY ON CARDIOVASCULAR COMORBIDITIES IN PATIENTS OF CHRONIC KIDNEY DISEASE ATTENDING TRIPURA MEDICAL COLLEGE & DR. B. R. AMBEDKAR MEMORIAL TEACHING HOSPITAL

“…Pericardial effusion and conduction abnormalities are more common in patients of CKD on haemodialysis. 13 MV Krishna, Ashish Jindal, Saurav Das in a study found that LVH is the commonest abnormality observed in CKD both on ECG and echocardiography. Echocardiography is a more sensitive diagnostic procedure to detect LVH.…”

Cardiac function’s in patients with chronic kidney disease

“…Similarly, Sachdeva et al concluded that based on echocardiographic changes, LVDD was present in 38.33% patients, Krishna et al reported LVDD in 38%, Ladha et al reported LVDD in 61.4% and Singal et al reported in 50%. [22][23][24][25] Rao et al found that 67.2% of subjects had diastolic dysfunction. 26 Losi et al in a cross-sectional study declare that nearly 40% of the patients had diastolic dysfunction.…”