Assessment of ECG Changes in Patients with Chronic Kidney Disease

Abstract

Background: To assess ECG changes in patients with chronic kidney disease. Subjects and Methods: Eighty- six adult patients of chronic kidney disease on maintenance haemodialysis were selected and parameters such as complete blood count, renal function test, liver function test, anaemia, hypertension, diabetes and ECG changes was recorded. Results: There were 54 male patients and 32 female patients. The mean age of patients was 48.2 5.1 years. Anaemia was seen among 45, diabetes mellitus in 34, hypertension in 30. The mean serum creatinine level was 5.411.5 mg/dl. ECG abnormalities observed were LV systolic dysfunction in 17 patients, LV diastolic dysfunction in 29 patients and left ventricular hypertrophy in 40 patients. The difference was significant (P< 0.05). Conclusion: Echocardiography is cost effective non- invasive diagnostic test which can detect early changes in cardiac parameters. Anaemic and hypertensive help us to check progress and prognosis of the disease. LVH is the most common structural defect and LV diastolic dysfunction is the most common functional cardiac defect in CKD patients on haemodialysis.