Use of Lung Ultrasound with Tissue Doppler Echocardiography to Follow up Cardiovascular State of Haemodialysis Patient
Hashim, A., Rashad, A., Bakry, A., Abdelrazek, G., Ahmed, M. (2022). Use of Lung Ultrasound with Tissue Doppler Echocardiography to Follow up Cardiovascular State of Haemodialysis Patient. EKB Journal Management System, 5(1), 133-145. doi: 10.21608/svuijm.2021.62889.1084
AbdelKader A. Hashim; Alaa Rashad; Ahmed G. Bakry; Ghada M. Abdelrazek; Mustafa Abdullah Ahmed. "Use of Lung Ultrasound with Tissue Doppler Echocardiography to Follow up Cardiovascular State of Haemodialysis Patient". EKB Journal Management System, 5, 1, 2022, 133-145. doi: 10.21608/svuijm.2021.62889.1084
Hashim, A., Rashad, A., Bakry, A., Abdelrazek, G., Ahmed, M. (2022). 'Use of Lung Ultrasound with Tissue Doppler Echocardiography to Follow up Cardiovascular State of Haemodialysis Patient', EKB Journal Management System, 5(1), pp. 133-145. doi: 10.21608/svuijm.2021.62889.1084
Hashim, A., Rashad, A., Bakry, A., Abdelrazek, G., Ahmed, M. Use of Lung Ultrasound with Tissue Doppler Echocardiography to Follow up Cardiovascular State of Haemodialysis Patient. EKB Journal Management System, 2022; 5(1): 133-145. doi: 10.21608/svuijm.2021.62889.1084

Use of Lung Ultrasound with Tissue Doppler Echocardiography to Follow up Cardiovascular State of Haemodialysis Patient

SVU-International Journal of Medical Sciences
Article 15, Volume 5, Issue 1, January 2022, Page 133-145  XML PDF (709.58 K)
Document Type: Original research articles
DOI: 10.21608/svuijm.2021.62889.1084
View on SCiNiTO View on SCiNiTO
Authors
AbdelKader A. Hashimorcid 1; Alaa Rashadorcid 2; Ahmed G. Bakry3; Ghada M. Abdelrazek4; Mustafa Abdullah Ahmed email 1
1Department of Internal Medicine, Faculty of Medicine, South Valley University, Qena, Egypt
2Department of Chest diseases and tuberculosis, Faculty of Medicine, South Valley University, Qena, Egypt
3Department of Internal Medicine, Cardiology Div., Faculty of Medicine, South Valley University, Qena, Egypt
4Department of Radio diagnosis, Faculty of Medicine, South Valley University, Qena, Egypt
Abstract
Background: Chronic hypervolemia is the main cause of cardiovascular complications in haemodialysis patients.
Objectives: We aimed to study the effect of lung ultrasound-guided dry weight reduction strategy on the cardiovascular state of hypertensive haemodialysis patients.
Patients and Methods: We carried out a single-blind two-arm randomized trial on 50 hypertensive haemodialysis patients in Qena University Hospital dialysis centre over 8 weeks from 1/11/2020 to 1/1/2021. Patients were divided into usual care group (control arm) and active group(study arm). In study group, dry weight reduction was assessed weekly by lung ultrasonography guided by the total number of B-lines, before the midweek session of haemodialysis. In the control group, dry weight probing was done according to clinical criteria. To assess outcomes, we compared the clinical and echocardiographic improvement in both groups including full clinical assessment, etc at baseline and at the study end.
Results: In study group, dry weight was significantly reduced in comparison with the control group (−0.41 ± 0.32 vs. 0.04 ± 0.09 kg; P < 0.001), resulting in a statistically significant reduction in systolic and diastolic blood pressures (P < 0.001). Furthermore, a statistically significant reduction in echocardiographic indices of cardiac chambers dimensions occurred in study group, in addition to improvement of the diastolic function of both ventricles.
Conclusion: Ultrafiltration based on assessment of fluid status using lung ultrasound dry weight reduction is better than that based on conventional method regarding both clinical and echocardiographic parameters.
Keywords
echocardiography; dry weight reduction; haemodialysis; hypertension; lung ultrasound
Statistics
Article View: 262
PDF Download: 154