Spectrum of echocardiographic abnormalities in end-stage renal disease patients undergoing hemodialysis


MA Ostovan 1 , * , Z Mazlum 2 , Gh Raissjalali 2 , J Roozbeh 2 , M Sagheb 2

1 Assistant Professor of Department of Cardiology, Nemazee Hospital, Shiraz University of Medical Sciences, [email protected], Fars, Iran

2 Department of Cardiology, School of Medicine, Shiraz University of Medical Sciences, Fars, Iran

How to Cite: Ostovan M, Mazlum Z, Raissjalali G, Roozbeh J, Sagheb M. Spectrum of echocardiographic abnormalities in end-stage renal disease patients undergoing hemodialysis, Iran Red Crescent Med J. Online ahead of Print ; 10(2):115-117.


Iranian Red Crescent Medical Journal: 10 (2); 115-117
Article Type: Brief Report
Received: May 5, 2007
Accepted: March 9, 2008




Background: Cardiovascular disease is the most common cause of mortality in patients with end-stage renal disease. Determining the spectrum of echocardiographic abnormalities in these patients can help the prevention of mortality in this group of chronically ill patients.


Methods: 123 adult patients with chronic renal failure who underwent hemodialysis and echocardiography during February till November 2006 were enrolled. Complete 2-D, M-mode, Doppler and color Doppler study were performed by a single operator for each patient and the abnormalities were recorded.


Results: The mean age was 38.3+13 and 61.5 % were female. The mean cardiac dimensions were right ventricular diastolic dimension: 1.89+0.05 cm, inter-ventricular septal dimension: 1.3+1.23 cm, enddiastolic dimension: 6.1+0.6 cm, endsystolic dimention: 3.84+2.5 cm, ejection fraction: 59.2+11 %, left ventricular mass: 238+90 gr. The prevalence of LV systolic dysfunction (EF < 50 %) was 20.3%, valvular regurgitation > mild, mitral regurgitation: 52.8%, aortic regurgitation: 24.4%, and tricuspid regurgitation: 35.8%. Valvular calcification was seen in 14.5% of the patients but no significant stenosis was noted. The prevalence of pulmonary hypertension (SPAP>30 mm Hg) was 14.7% and that of pericardial effusion (> mild) was 14.7%. Cardiac ejection fraction was lower in patients requiring more hemodialysis sessions (p value <0.036).


Conclusion: Echocardiographic abnormalities are very common in patients suffering from end-stage renal disease (ESRD), so periodic echocardiographic examination for diagnosis and treatment of cardiac abnormalities is highly recommended. 


Echocardiography End-stage renal disease Hemodialysis

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