HEMODIALYSIS INDUCED CARDIAC DYSFUNCTION AND RELATED FACTORS

I MERTHA1, H PRASANTO2, I KUSWADI3
1Sarjito Hospital, Yogyakarta, Indonesia, 2Sarjito Hospital, Yogyakarta, Indonesia, 3Sarjito Hospital, Yogyakarta, Indonesia

Background. Heart failure (HF) is highly prevalent and associated with high mortality in hemodialysis patients. We studied  cardiac dysfunction and related factors in hemodialysis patients at Sarjito Hospital Yogyakarta.
Methods. In a cross-sectional study we investigated 45 routine hemodialysis patients at Sarjito Hospitals, from Januari to july 2016. They were male  27 (60%), female 18 (40%), with heart failure in New York  Heart Association class I and II. Data analyzed by Pearson Chi Square method.
Results. Mean age  51±9,3 years,mean Hb consentrations 9,0±1,57, mean ferritin consentrations 1221,7±1409,67, Neutrophil to Lymphocyte ratio mean 3,33±2,67, mean Length of duration HD 5,36±3,4 years and mean of Pulse pressure 66,44±17,58 mmHg, The pearshon chi square, showed that cardiac performance and functions in hemodialisis patients correlates with Length of hemodialysis  (p=0,001), ferritin consentrations (p=0,001) Neutrophil-Lymphocyte ratio (p=0,001), duration of  HD (p=0,001), Pulse pressure (p=0,001) and  Sex (p=0,001).
Conclusions. The study demonstrates that hemodialysis patients  hade correlated with cardiac dysfunction, and related with factors  were sex, length of dialysis time, with Feritin level, albumin, hemoglobin and pulse pressure.


Biography:
Fellow on Renal and Hypertension Division, Internal Medicine Department, Sardjito Hospital Yogyakarta Indonesia

 

 

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