ECG and ECHO Changes in CKD

Sachdeva, Satish; Khurana, Tarvinderjit; Kaur, Satinderpal; Kamalpreet, Kamalpreet; Aggarwal, Rajiv; Kaur, Arashbir; Singh, Bhupinder

doi:10.21276/aimdr.2017.3.5.me3

Cited by 5 publications

(5 citation statements)

References 8 publications

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“…Our study showed that abnormal ECGs were found in 92.1% of all CKD patients. This is higher than previous studies, where abnormal ECG measurements were found in 50-86% of all patients [4,6,11,13,14]. In this study, prolonged QTc interval was the most common ECG finding observed.…”

Section: Discussioncontrasting

confidence: 68%

“…Furthermore, previous research by Rodriguez et al showed that the QRS frontal axis was more leftward in the population with significant microalbuminuria [32]. Sachdeva et al also showed left axis deviation in 15% of their CKD patients [14]. Our study showed the frequency of frontal axis deviation was found in 11% CKD patients without further investigation of the microalbuminuria status.…”

Section: Discussionsupporting

confidence: 53%

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Electrocardiographic abnormalities among late-stage non-dialysis chronic kidney disease patients

Mulia

Nugraha

A'yun

et al. 2020

Journal of Basic and Clinical Physiology and Pharmacology

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ObjectivesCardiovascular disease (CVD) complication is common among chronic kidney disease (CKD) patients. Thus, knowledge about CVD and ECG abnormalities in CKD are essential due to progressive nature of the disease and increased risk of sudden cardiac death. This study aims to scrutinize the ECG abnormalities among nondialysis late-stage CKD patients.MethodsA descriptive observational study was conducted at Dr. Soetomo General Hospital, Surabaya, Indonesia. Subjects were hospitalized patients with late-stage CKD between 1 January and 31 December 2019, who were consulted at the department of cardiology and vascular medicine during their initial admission at emergency room. ECG interpretation for this study was done by qualified cardiologist.ResultsThere were 191 patients included in this study. Mean ages were 52.2 ± 11.8 years old and 51% were males. Total 143 (74.9%) patients had anemia, 111 (58.1%) had hypertension and 75 (39.3%) had type 2 diabetes mellitus. Mean serum creatinine was 10.5 ± 8.0 mg/dL. There were 176 (92.1%) patients with at least one form of ECG abnormalities. Prolonged QTc interval (36.6%), fragmented QRS complex (29.8%), poor R wave progression (24.6%), peaked T wave (22.0%) and left ventricular hypertrophy (16.7%) were the most common abnormalities.ConclusionsECG abnormalities are common among nondialysis late-stage CKD patients. Given the fact that long-term CKD influences the pathogenesis cardiovascular diseases and substantial cardiovascular mortality, there is a need to screen Indonesian CKD patients who are at risks of getting earlier complications.

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Section: Discussioncontrasting

confidence: 68%

Section: Discussionsupporting

confidence: 53%

Electrocardiographic abnormalities among late-stage non-dialysis chronic kidney disease patients

Mulia

Nugraha

A'yun

et al. 2020

Journal of Basic and Clinical Physiology and Pharmacology

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“…Comparison of twodimensional echocardiographic changes in CKD cases with other studiesParticularsRamanan et al12 Laddha et al13 Goornavar et al14 Singal et al15 Sachdeva et al16 Present study(2017) …”

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confidence: 70%

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

Krishna¹,

Jindal²,

Das³

2018

The Journal of Medical Sciences

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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.

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“…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.…”

Section: Discussionmentioning

confidence: 99%

Cardiac function’s in patients with chronic kidney disease

Roy

Solanki

Chawda³

et al. 2022

Int J Adv Med

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Background: To assess the cardiac functions in patients with chronic kidney disease (CKD).Methods: 150 patients with CKD were randomly selected. 12 lead ECG were performed to detect CVD. All Patients were diagnosed with CKD. The left ventricular ejection fraction (LVEF) and fractional shortening (FS) were taken as measures of LV systolic function. Diastolic function was determined by measuring early to late peak velocities (E/A) ratio by spectral Doppler LV inflow velocity. Results: Male: female 95 and 55, hypertension 67% was leading cause of CKD. Diastolic dysfunction as denoted by E/A ratio of less than 0.75 or more than 1.8 was present in 64% of patients. Regional wall motion abnormality (RWMA) was present in 14%. LVH was present in 74%. Systolic dysfunction as measured by reduced fractional shortening (<25%) and decreased LVEF (<52%) was present in 8% and 12% respectively. PE was noted in 15% of patients. Valvular calcification in 8% of CKD patients. Mean LV internal diameter in diastole was 41±6 mm. Mean Interventricular septum diameters in systole was11.9±1.21 mm. Mean LA diameter was 29±4 mm. Statistically significant difference was noted in LVH and E/A ratio in hypertensive group as compared to normotensive group.Conclusions: LV diastolic dysfunction also happens in patients who having the early stage of CKD. Hypertensive patients along with CKD had found higher widespread presence of diastolic and systolic dysfunction as compared to normotensive.

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ECG and ECHO Changes in CKD

Cited by 5 publications

References 8 publications

Electrocardiographic abnormalities among late-stage non-dialysis chronic kidney disease patients

Electrocardiographic abnormalities among late-stage non-dialysis chronic kidney disease patients

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

Cardiac function’s in patients with chronic kidney disease

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