23 A STUDY OF ECHOCARDIOGRAPHIC DETECTION OF CARDIAC ABNORMALITIES IN PATIENTS OF CHRONIC KIDNEY DISEASE& PROGRESSION TO HF.
Journal Title: Indian journal of applied basic medical sciences - Year 2018, Vol 20, Issue 31
Abstract
Introduction: In chronic kidney disease (CKD) patients,left ventricular (LV) diastolic dysfunction occurs frequently and is associated with heart failure (HF) and higher mortality. Left ventricular systolic dysfunction is associated with coronary artery disease (CAD) and is a major determinant of prognosis. The aim of this study was to assess indices of LV diastolic dysfunction in CKD patients. Material and methods: Study included 118 CKD patients. All patients underwent transthoracic echocardiography. Diastolic function based on E and A, E/A ratio and pulmonary vein flow velocities as well as EF%, deceleration time, RA, LA volume were assessed. In dialysis patients examination was carried out before and after dialysis. Observations:In CKD patients the stage of renal failure was associated with the significant increase in LV mass, systolic LV & diastolic LV dimensions and in the size of the LA. The increase the E/E’ ratio between groups of patients was seen in this study. The reduction in deceleration time along with the decrease in estimated glomerular filtration rate was also observed in this study. Conclusions: Early identification of factors involved is necessary to prevent this devastating process. Many indexes of contractility are used and each of them has imperfections. It seems that TVI, E, E/A ratio & E/E’ ratio are good instruments for the early detection of left ventricular hypertrophy and diastolic dysfunction. KEYWORDS:CKD, TTE, Diastolic dysfunction, systolic dysfunction.
Authors and Affiliations
Dr Pratik Modi
Keywords
Related Articles
- EP ID EP376056
- DOI -
- Views 88
- Downloads 0
INTEGRATED MEDICAL EDUCATION “CLINICAL /BED SIDE TEACHING CANNOT BE DISINTEGRATED “Dr Janardan Bhatt
The author feels the model very practical to begin to develop an integrated curriculum. But because of its complexity , there is a great problem of acceptance and conceptualization of integrated medical education curric...
13 IMPACT OF PEER ASSISTED LEARNING ON YEAR 1 MEDICAL STUDENTS PEER ASSISTED LEARNING MODULE AS AN TEACHING LEARNING METHOD
Back ground Medical council of India recommends improving quality of training of IMGs by expanding the role of doctors/IMGs from Clinician to Communicator, Leadership and member of the health care team. MCI also recomm...
27 PHYSIOLOGICAL ASSESSMENT OF COMMON CAROTID ARTERY END DIASTOLIC VELOCITY, A HEMODYNAMIC PARAMETER, WITH FUTURE RISK FOR THE DEVELOPMENT OF CEREBROVASCULAR STROKE
Aim: Assessment of Common carotid artery end diastolic velocity , a hemodynamic parameter, with the future risk for development of Cerebrovascular stroke . In order to assess common carotid artery end diastolic velocit...
10 STUDY OF EPIDEMIOLOGICAL PROFILE OF PRETERM DELIVERIES
Objective: To study the epidemiological profile of preterm deliveries Study Design :Retrospective Observational Study Duration of Study :1 year : June 2014 to May 2015 Patient and Methods :Data was collected from the...
12 IMPACT OF ACUTE PARTIAL SLEEP DEPRIVATION ON S.L.C.T. AS A TEST FOR ATTENTION SCORE ON MEDICAL STUDENTS: a comparative study
INTRODUCTION: sleep is an essential function of brain and help to maintain of attention and concentration. Sleep deprivation lead to difficulty in maintaining attention and concentration. Some medical students study...