Background:Evaluation of cardiac diseases in chronic kidney disease has been rarely investigated in Nepal.
Objectives:Objective of this study is to evaluate cardiac lesions in admitted chronic kidney disease patients.
Methodology:It is a prospective observational study of echocardiography of chronic kidney disease patients from April, 2007 to April, 2013 in Nepal Medical College Teaching Hospital.
Results:One hundred chronic kidney disease patients were evaluated. Male to Female ratio was 1.8:1 and age +/- SD was 46.3 +/- 17.2 years. Forty eight percent of the chronic kidney disease patients had left ventricular hypertrophy. Patients with chronic kidney disease with left ventricular hypertrophy group had interventricular septum of 1.5 +/- 0.3 cm vs. 1.1 +/- 0.1 cm (p<0.0001) and posterior wall of 1.1 +/- 0.2cm vs. 1.0 +/- 0.1cm (p< 0.01) in comparison to chronic kidney disease without left ventricular hypertrophy. Forty one percent had left ventricular systolic dysfunction with left ventricular ejection fraction of 39 +/- 9.9 %. Pulmonary arterial hypertension was noticed in 39% patients. Valvular regurgitant lesions were quite common (24.1%) usually as multivalvular lesions (4.4 lesions per patient). Mitral regurgitation was the commonest regurgitant lesion (81%).
Conclusion:Echocardiographic cardiac evaluation is useful to diagnose concomitant cardiac lesions for standard care of chronic kidney disease patients.
Keyword :Chronic kidney disease (CKD); Echocardiography; Left ventricular hypertrophy (LVH); Left ventricular systolic dysfunction (LVSD); Valvular lesions
Shweta Dhital+ Megha Pradhan+ Siddharth Ghimire+ Deepak Kumar Roy+ Sirjana Dahal+ Abstract Background: Overall, children less than five years old are seen more by a physician than a dentist. Physician need more knowledge and skills to Read more…
Manish Pokhrel+ Abstract Background: Acute appendicitis and acute mesenteric adenitis have very similar clinical presentations but radically different treatment approaches in children. Objectives: This study aims to test the possibility of clinically distinguishing between acute appendicitis and Read more…
Abstract Background: Spinal anesthesia is the preferred technique of anesthesia employed for caesarean sections. However, it is very often complicated by hypotension. Different drugs and techniques have been used to prevent the hypotension induced by spinal Read more…