Cardiac Arrhythmia and Blood Pressure Variability in Hemodialysis Patients | ||||
The Egyptian Journal of Hospital Medicine | ||||
Article 20, Volume 76, Issue 1, July 2019, Page 3291-3298 PDF (425.96 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhm.2019.36892 | ||||
View on SCiNiTO | ||||
Authors | ||||
Ali Mohammed Al-Ameen1; Mohammed Adel Atia1; Mohammed Sayed Bashandy1; Osama Mohammed Ahmed2; Bahaa El-din Mahmoud Nawar1 | ||||
1Cardiology Department, Faculty of Medicine - Al-Azhar University | ||||
2Internal Medicine Department, Faculty of Medicine - Al-Azhar University | ||||
Abstract | ||||
Background: end-stage renal disease is a global public health burden bearing high morbidity and mortality, and cardiovascular disease is a major cause of mortality in hemodialysis patients. Objective: the aim of this study is detection of arrhythmia and blood pressure variability in hemodialysis (HD) patients. Patients and Methods: this prospective observational study included 100 chronic renal failure patients on regular HD came to the hemodialysis center of Al-Azhar University Hospital, New Damietta and Kafr Elsheikh General Hospital. The study was carried out over a period of eight month from July 2017 until September 2018. Results: the intradialytic (ID) blood pressure was normal in 38%, ID hypertension was reported in 44% and ID hypotension was reported in 18% of HD patients, also we found that arrhythmia was developed in 84% of HD patients and the prevalence of arrhythmia was VES in 56%, PAC in 50%, SVT in 4%, AF in 8.0%, sinus tachycardia in 26% and sinus bradycardia in 20%. The sympathetic over activity (LF/HF ratio < 1.5) was reported in 38%; and high risk standard deviation of normal-to-normal intervals (SDNN) was reported in 22% and moderate risk in 70.0% while low risk was reported in 8.0% of HD patients. Conclusion: cardiac arrhythmias are common findings in patients with chronic renal failure on regular hemodialysis. | ||||
Keywords | ||||
Cardiac arrhythmia; Blood Pressure Variability; Hemodialysis patients | ||||
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