Myocardial Functional Disorders in Hemodialysis Patient with Intradialytic Hypertension
Benha Medical Journal
Hemodialysis is the process of cleaning blood outside the body. It involves taking blood from a blood vessel and passing it through a synthetic filter, known as a dialyzer. Intradialytic hypertension (IDH) is a phenomenon where blood pressure increases during hemodialysis, and is associated with increased mortality. Majority of patients with IDH suffer and die from cardiovascular complications. Aim of the work: The aim of the work is to estimate the incidence of IDH among the hemodialysis
... hemodialysis patients, and to study myocardial functional disorders during hemodialysis in IDH patients. Patient and Methods: study was carried out in hemodialysis unit, internal medicine department of Benha University Hospital, where 100 patients were selected, conventional echocardiography was done immediately before and after HD, Results: incidence of IDH was 30%. Mean LVEDD significantly decreased post dialysis from 48.3 mm to 46.6 mm. P value was <0.001. Mean LVESD significantly decreased from 39 mm to 37.1 mm. P value was <0.001 Mean LAV significantly decreased from 50.6 mm3 to 40.8 mm3. P value was <0.001 Mean COP significantly decreased from 5.9 L/m to 5.6 L/m. P value was <0.001 Mean SV significantly decreased from 82.5ml to 69.5 ml. P value was <0.001 Mean LA diameter significantly decreased from 38.2 mm to 32.5 mm. P value was<0.001 in IDH patient Conclusion: IDH is a common alteration in the dialysis population with significant changes on ECHO parameter.