Abstract
ECHOCARDIOGRAPHIC FINDINGS IN CHRONIC KIDNEY DISEASE (CKD) PATIENTS

Dr. Perugu Balananda*, Dr. Swaroopchand Bhansali and Dr. A. N. Syamsunder Kiran

ABSTRACT

Cardiovascular diseases are the cause for mortality in population. The early diagnosis is important in the management of these diseases and to prolong the lifespan. Anemia, Arterio-venous communications, fluid and electrolyte imbalances and nutritional disturbances in patients with End Stage Renal Disease (ESRD) may also contribute to cardiac decompensation .In the general population Cardio vascular Diseases (CVD) morbidity and mortality have declined substantially over the past three decades through risk factor identification and reduction and more effective treatment of coronary artery disease. To estimate the levels of serum creatinine and blood urea to identify the ESRD and to assess the levels of LV function and detect pericardial abnormalities in patients with advanced renal insufficiency by Echo and the levels of serum creatinine and Echo findings are compared with normals and ESRD patients. Group – I: Healthy normal individuals not having diabetes mellitus, hypertension, kidney diseases aged between 20-60yrs and not having habits like alcohol ingestion and smoking. Group-II: Subjects patients attending Nephrology out patient department (O.P.D) for dialysis are selected. Diagnosis of CKD is confirmed by Nephrologists. Patients with arterio venous fistula, Diabetes mellitus, Known case of Coronary Artery Disease (CAD), Valvular heart disease, Congenital heart disease, Patients on treatment with erythropoietin, Poor echo window, Patients with history of smoking and alcohol ingestion. Results .Serum creatinine levels indicate eGFR and the values indicate decrease in glomerular function Echo findingns in almost all the patients indicate significant changes in LV thickness,volume,velocity of shortening. It is observed in the present study blood pressure is increased due to fluid over load and this may be due to release of plasma catecholamines which may increase one‟s risk of developing hypertension.

Keywords: CKD, chronic, heart failure, ECHO.


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