DOI: 10.36347/sjams.2017.v05i09.002

Pages: 3475-3480

Cardiovascular abnormalities are the leading cause of morbidity and mortality in Chronic Kidney Disease (CKD) patients which includes left ventricular hypertrophy (LVH), left ventricular dilation and left ventricular systolic and diastolic dysfunction. Cardiovascular complications lead in all causes of mortality among patients with CKD, accounting for approximately 50% of deaths. The present study designed to identify Electrocardiographic and Echocardiographic changes in patients with chronic kidney disease. A total of 50 CKD patients (23 males & 17 females) attending outpatient department were included. All patients were undergone for complete haemogram, ECG, Abdominal USG and Echocardiography. The results of present study showing, LVH with or without strain pattern in 62.5%, low voltage complexes in 15%, occasional ventricular premature complexes in 22.5% and non-specific ST – T changes in 30% of cases. 22.5% of Patients showed dilated LVH and 47.5% of showed concentric LVH. Systolic dysfunction was found in 27.5% of cases and diastolic dysfunction was found in 50% of cases. LVH is the commonest morphological abnormality observed. Echocardiographic study plays an important role in evaluating cardiac structure and functions as well as in stratifying prognostic risk. Periodic echocardiographic examination for diagnosis and treatment of cardiac abnormalities in patients with CKD is highly recommended.