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Background: Cardiovascular events are the leading cause of morbidity and mortality in chronic hemodialysis patients. Impaired right ventricular function is often associated with poor survival in hemodialysis patients. Objective: To determine the effect of vascular access flow (AVFs) of right ventricular function. Methods: This cross-sectional study was done in Department of Nephrology, DMCH during the period January 2020 to July 2021. End stage renal disease patient underwent hemodialysis for ≥3 months were recruited in the study. Patients with chronic respiratory disease, severe valvar heart disease, AVFs flow16mm termed as Group II, normal right ventricular function. Data were expressed as mean±SD and number (present) as appropriate. Unpaired student t test, invariable and multivariable analysis were performed as applicable using statistical package for social science (SPSS). p |