Echocardiographic Abnormalities in Children with Chronic Kidney Disease on Maintenance Hemodialysis

Authors

  • Aneeqa Adnan The Children's Hospital and Institute of Child Health, Lahore Pakistan
  • Naureen Akhtar The Children's Hospital and Institute of Child Health, Lahore Pakistan
  • Abdul Ahad Jamshaid The Children's Hospital and Institute of Child Health, Lahore Pakistan
  • Tehmina Kazmi The Children's Hospital and Institute of Child Health, Lahore Pakistan
  • Uzma Kazmi The Children's Hospital and Institute of Child Health, Lahore Pakistan
  • Adeela Chaudary The Children's Hospital and Institute of Child Health, Lahore Pakistan

DOI:

https://doi.org/10.51253/pafmj.v72i2.5759

Keywords:

Chronic kidney disease, Cardiovascular disease, Echocardiography, Hemodialysis

Abstract

Objective: To identify the echocardiographic abnormalities in children with chronic kidney disease on maintenance hemodialysis.

Study Design: Prospective longitudinal study.

Place and Duration of Study: Hemodialysis unit of Department of Pediatric Nephrology, The Children’s Hospital and Institute of Child Health, Lahore from Jun to Nov 2020.

Methodology: A total of 75 children of chronic kidney disease on hemodialysis were included. Blood and urine tests, chest x-ray and transthoracic echo cardio-grapy were performed to assess the cardiac morphological and functional abnormalities.

Results: The mean age of patients was 12.14 ± 2.18 years with 54 (72%) males and 21 (28%) females. The mean duration of hemodialysis was 22.54 ± 17.01 months with mean urea reduction ratio (URR) (%) 65.58 ± 4.31 and mean Kt/v 1.3 ± 0.1. Hypertension was noted in 70 (93.3%) patients with mean systolic and diastolic blood pressure 134.07 ± 10.64 and 89.13 ± 6.78 mmHg, respectively. The echocardiography revealed the mean ejection fraction of 58.02 ± 12.40 with mild systolic and diastolic dysfunction noted in 48 (64%) patients, pericardial effusion in 23 (30.7%) cases and left ventricular hypertrophy (LVH) in 52
(69.3%) cases.

Conclusion: As the frequency of left ventricular hypertrophy (LVH) was noted to be high in our chronic kidney disease patients
on hemodialysis, there is a need to implement echocardiographic screening of these patients at regular intervals to identify and
rectify cardiac complications early.

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Published

01-05-2022

Issue

Section

Original Articles

How to Cite

1.
Adnan A, Akhtar N, Jamshaid AA, Kazmi T, Kazmi U, Chaudary A. Echocardiographic Abnormalities in Children with Chronic Kidney Disease on Maintenance Hemodialysis. Pak Armed Forces Med J [Internet]. 2022 May 1 [cited 2024 Jul. 25];72(2):568-71. Available from: https://pafmj.org/PAFMJ/article/view/5759