Acute cardiovascular complications of hemodialysis in patient with end-stage renal disease – a single center experience

Muthanna Medical Journal
Volume 6, Issue 2, August 2019
http://dx.doi.org/10.18081/2410-4590/2019-17-29

Research Article

Safaa ali khudhair1, Shawqi Watheq Mohammed Ali2, Sanad Asaad Abd Al-Hussein3

* Correspondence author: shoaqy@gmail.com
¹Al-Kufa Training Centre
²Al-Hakeem General Hospital
³Al-Sadr Medical City
Received 9 October 2018, Accepted 29 January 2019, Available online  30 March 2019
Received 22 April 2019, Accepted 21 July 2019, Available online 19 August 2019. This is article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2019 SW
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Copyright © 2019 TF

Abstract

Hemodialysis (HD) is an important modality of renal replacement therapy and during HD, patients are at greater risk of cardiovascular complication compared with the general population, with estimated risk is as high as (8 to 20) fold. Most important cardiovascular complications during hemodialysis include; hypotension, arrhythmias, myocardial ischemia and heart failure. The aim of study is to evaluate patient on hemodialysis for occurrence of cardiovascular complication. One hundred patients on hemodialysis were enrolled in this study. Patients were evaluated for cardiovascular complication when they were undergoing hemodialysis through physical examination, electrocardiogram and echocardiography during their admission in hemodialysis unit. The age of the patients enrolled ranged from 30 to 75 years. The mean BMI was ranging from 19 to 29 kg/m2. In this study cardiovascular complications encountered are hypotension (the most frequent complication reported), followed by ventricular ectopic, angina, AF, SVT, LV dysfunction, peripheral vascular disease, AMI and stroke. Hypotension was significantly more in patients with UF >500 ml. Angina and PVD were significantly associated with graft type of venous access. Inconclusion: Hypotension was the most commonly reported cardiovascular complication of hemodialysis in patients who has had a high ultrafiltration rate; presence of other common comorbidity like diabetic mellitus, hypertension, and smoking increase the risk of angina, arrhythmia and infarction.

Keywords: Hemodialysis; Cardiovascular complication; End-stage renal disease

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