Assessment of lest ventricular hypertrophy and left ventricular diastolic dysfunction   cardiovascular in patients of chronic renal failure by echocardiography

Mahipal Chaudhary; Kaushik Hadiya; Prafful Kothari; Ashok Choudhary

doi:10.55489/njmr.12042022934

Authors

Mahipal Chaudhary Surat Municipal Institute of Medical Education and Research, Surat, India
Kaushik Hadiya Surat Municipal Institute of Medical Education and Research, Surat, India
Prafful Kothari Surat Municipal Institute of Medical Education and Research, Surat, India
Ashok Choudhary Surat Municipal Institute of Medical Education and Research, Surat, India

DOI:

https://doi.org/10.55489/njmr.12042022934

Keywords:

Left ventricular hypertrophy, Left ventricular diastolic dysfunction, Chronic renal failure, Echocardiography

Abstract

Introduction - Chronic renal failure, regardless of the cause, is the presence of kidney damage or a reduced level of kidney function for three months or longer. It is a group of signs and symptoms brought on by slow and long-term renal damage. The most frequent cardiovascular finding in people on dialysis is LVH. Objective - To estimate the prevalence of left ventricular hypertrophy and left ventricular diastolic dysfunction by echocardiography in patients with chronic renal failure. Method – this was an observational cross-sectional study at the Department of General Medicine among IPD patients, Tertiary Care Hospital, Surat. Result - Left ventricular hypertrophy out of 34 cases 22 (64.71%) cases were show left ventricular hypertrophy with an odd ratio of 3.208 (1.049, 9.81) and a p-value 0.0378 which was statically significant. prevalence of diastolic dysfunction was 79%. comparison of renal function test and echocardiographic change of chronic renal failure. In the renal function test serum, creatinine and EGFR were show a p-value < 0.001 which was statistically significant. Conclusion - Cardiac dysfunction and LVH are frequently noted in individuals with chronic renal failure at the time of commencement of dialysis. cardiovascular abnormalities in the form of LVH and diastolic dysfunction which antedate severe systolic dysfunction are frequently observed in milder degrees of chronic renal failure

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