A tertiary care centre profile of heart diseases among diagnosed cases of chronic kidney disease

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dc.contributor.authorBakhtar, Vijayen_US
dc.contributor.authorBakhtar, Niyatien_US
dc.contributor.authorPandey, Nehaen_US
dc.contributor.authorBakhtar, Nikhilen_US
dc.date.accessioned2020-11-18T10:00:32Z
dc.date.available2020-11-18T10:00:32Z
dc.date.issued2020-02
dc.description.abstractBackground: Chronic Kidney Disease (CKD) is a risk factor for development of cardiovascular diseases. Cardiovascular diseases are the predominant cause of morbidity and mortality in patients with CKD. There is limited data on cardiovascular diseases among CKD patients from developing countries including India. With the present study, the prevalence and patterns of cardiac diseases among patients with CKD were profiled.Methods: This was a cross sectional study in which 217 patients with CKD were studied over a period of two years and six months. Data on demographic characteristics and risk factors for cardiovascular diseases were collected using a standardized questionnaire. Cardiac evaluation was done using resting ECG and echocardiography.Results: One hundred eighteen (54.4%) patients had either eccentric or concentric LVH. Patients with LVH were more likely to be hypertensive (p<0.001) or anemic (p=0.034). Up to 9.2% of study subjects had valvular heart disease (rheumatic or degenerative) and 22% had pericarditis. Patients with pericarditis were more likely to have a serum urea concentration greater than 60mg/dl (p=0.327). Forty-one patients (18.9%) had left ventricular systolic failure (EF<50%). There was a statistically insignificant higher prevalence of systolic failure in patients with LVH (21% vs. 16%), (p=0.346). Thirty-eight participants (17.5%) had diastolic failure while 2% had cardiac rhythm abnormalities.Conclusions: Cardiac abnormalities are common in a relatively young Indian population with CKD. Clinicians should routinely screen and manage cardiovascular disease in CKD patients.en_US
dc.identifier.affiliationsDepartment of Medicine, Dr. Panjabrao Deshmukh Memorial Medical College, Amravati, Maharashtra, Indiaen_US
dc.identifier.affiliationsIntern Doctor, District Hospital, Amravati, Maharashtra, Indiaen_US
dc.identifier.affiliationsMedical Officer, Military Hospital, Pulgaon, Maharashtra, Indiaen_US
dc.identifier.affiliationsConsultant Physician, Bakhtar Hospital, Amravati, Maharashtra, Indiaen_US
dc.identifier.citationBakhtar Vijay, Bakhtar Niyati, Pandey Neha, Bakhtar Nikhil. A tertiary care centre profile of heart diseases among diagnosed cases of chronic kidney disease. International Journal of Research in Medical Sciences. 2020 Feb; 8(2): 652-656en_US
dc.identifier.issn2320-6071
dc.identifier.issn2320-6012
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/211970
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber2en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-6012.ijrms20200251en_US
dc.subjectCardiac diseaseen_US
dc.subjectChronic kidney diseaseen_US
dc.subjectClinical profileen_US
dc.subjectScreeningen_US
dc.titleA tertiary care centre profile of heart diseases among diagnosed cases of chronic kidney diseaseen_US
dc.typeJournal Articleen_US
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