Cardiovascular abnormalities in patients of chronic kidney disease on hemodialysis - A study from tribal areas of Chhattisgarh presenting to a tertiary care hospital

Punit Gupta; G B Gupta

doi:10.4172/2161-0959.C1.018

Cardiovascular abnormalities in patients of chronic kidney disease on hemodialysis - A study from tribal areas of Chhattisgarh presenting to a tertiary care hospital

4^th International Conference on Nephrology & Therapeutics

September 14-16, 2015 Baltimore, USA

Punit Gupta and G B Gupta

Pt. J N M Medical College & GBG Kidney Care Hospital, India

Scientific Tracks Abstracts: J Nephrol Ther

Abstract :

Aim: To study the prevalence cardiovascular changes among patients of Chronic Kidney Disease on hemodialysis from the Tribal areas of Chhattisgarh, presenting to a tertiary care hospital. Material & Methods: 85 patients of Chronic Kidney Disease on hemodialysis getting admitted to Nephrology Unit, Department of Medicine, Pt. J N M Medical College & GBG Kidney Care Hospital, and Raipur were studied. All patients were subjected to Renal Function Tests, echocardiography and all other relevant routine investigations. Results â�?¢ A total of 55 patients were studied of which 80% were males and 20% females. â�?¢ The mean age of the patients was 43.74 �?± 13.03 years. â�?¢ 76.36% patients were on twice weekly dialysis while 23.6% were on thrice weekly dialysis. â�?¢ The Cardiovascular abnormalities observed were LVH (63.6%), pericardial effusion (58%), Diastolic dysfunction (27.2%), Valvular lesions (27.2%), Systolic dysfunction (12.73%), and Valvular calcification (10.9%). â�?¢ Among the patients on twice weekly dialysis prevalence of LVH, Pericardial effusion Diastolic Dysfunction, Valvular lesion, Systolic dysfunction & valvular calcification were 64.28%, 59.5%, 28.50%, 28%, 11.90% & 9.5% respectively, while among the patients on thrice weekly dialysis prevalence were 61.5%, 53.8% , 23%, 69.2%, 15.3% & 15.3% respectively. â�?¢ Among Diabetics Diastolic dysfunction, Valvular lesions & calcification were present in 46.60%, 33.33% & 13.33%. â�?¢ Mitral regurgitation was present in 21.8% of patients. Conclusion â�?¢ LVH was the most common cardiovascular abnormality. â�?¢ LVH, Diastolic dysfunction & pericardial effusion were more common in patients on twice weekly dialysis as compared to patients on thrice weekly dialysis (p value<0.05, <0.01 & <0.01 respectively). â�?¢ Diastolic dysfunction, valvular lesions & calcification were more common among diabetics (p value <0.001, <0.1 & <0.5 respectively). â�?¢ Mitral regurgitation was the most common valvular lesion.