Vimal Raj, A (2015) A Study of Electrocardiographic Changes in Patients with Chronic Kidney Disease. Masters thesis, Thanjavur Medical College, Thanjavur.
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Abstract
BACKGROUND AND OBJECTIVES: Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in patients with Chronic kidney disease (CKD). The mortality due to cardiovascular disease is 15-30 times higher in dialysis patients. Our aim is to study Electrocardiographic changes in patients with CKD. MATERIALS AND METHODS: 75 consecutive patients of CKD admitted in Thanjavur Medical College Hospital were taken up for the study. Patients were evaluated with history, general examination, systemic examination, Blood investigations, ECG, etc., RESULTS: In our study changes in ECG among CKD patients constituted to around 71% of the study population. The commonest ECG finding was Left ventricular hypertrophy constituting to 29% of study population. Ischemic changes in ECG were found to be in 23%, Conduction disturbances were found to be in 17%, Left atrial enlargement in ECG was found in 12%, Hyperkalemic ECG changes were found in 12% of our study population. The overall changes in ECG significantly (p value <0.05) correlated with the increasing age & presence of dyslipidaemia. The ischemic changes in ECG correlated significantly (p value < 0.05) with the low HDL and high Triglyceride levels. CONCLUSION: CVD poses a major threat to patients with CKD. In the context of CKD aim of evaluating CVD is warranted. The changes in ECG of patients with CKD can aid in detection of CVD and should be carried out in all patients with CKD.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Chronic kidney disease (CKD) ; Cardiovascular disease (CVD) ; Electrocardiography (ECG). |
| Subjects: | MEDICAL > General Medicine |
| Depositing User: | Punitha K |
| Date Deposited: | 18 May 2018 18:55 |
| Last Modified: | 21 May 2018 01:14 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/7923 |
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