Hemodialysis Effect on Systolic Left Ventricular Function in Stage V Chronic Kidney Disease Patients

Abstract

Chronic kidney diasease (CKD) is one of world health problem with increased incidence. Kidney function impairment contribute to cardiovascular complication that has been the main cause of CKD patient death. The impairment of cardiovascular function mainly caused by decreased of systolic left ventricular function. Stage V CKD patients need renal replacement therapy such as hemodialysis. Hemodialysis known to has positive effect on cadiovascular function by decreasing volume overload and uremic toxin. Echocardiography is a non-invasive method to assess cardiovascular function i.e. systolic left ventricular function. The aim of this study is to describe the improvement of systolic left ventricular function in stage V CKD patients after going through hemodialysis. The subject of this study are 30 patients, ≥18 years old diagnosed with Stage V CKD and undergo routine hemodialysis in RSD dr. Soebandi Jember. The data analyzed with Wilcoxon test and shown significance (p=0,000). This study concludes there is a significant improvement on systolic left ventricular function in CKD patients before and after hemodialysis in RSD dr. Soebandi Jember. 
 Keywords: Systolic Left Ventricular Function, Hemodialysis, Chronic Kidney Disease, Echocardiography

The Relationship of Resilience and Quality of Life Patient With Chronic Kidney Disease Who Undergoing Haemodialysis in Rasyda Kidney Hospital Medan

“…Pada tahun 2015 tercatat 1243 pasien mengalami kematian dengan lama hidup dengan hemodialisis antara 1 sampai 317 bulan. Pasien yang menjalani hemodialisis lama hidup terbanyak adalah 6 -12 bulan tetapi lama hidup tertinggi bisamencapai 317 bulan (8th Report of Indonesian Renal Registry, 2016 dalam Ramadhan, et al, 2018). Pasien dengan penyakit ginjal menjalani proses hemodialisis 1-3 kali seminggu dan setiap kalinya memerlukan waktu 2-5 jam, kegiatan ini akan berlangsung terus-menerus sepanjang hidupnya (Smeltzer, S. C., & Bare, B. G, 2010).…”