Electrocardiographic substrates of arrhythmias in patients with end-stage and chronic kidney diseases: a case–control study

Autor: Hesham Yehia, Ghada Youssef, Mona Gamil, Mahmoud Elsaeed, Khaled M. Sadek
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: The Egyptian Heart Journal, Vol 75, Iss 1, Pp 1-8 (2023)
Druh dokumentu: article
ISSN: 2090-911X
DOI: 10.1186/s43044-023-00338-5
Popis: Abstract Background Cardiovascular disease (CVD) is the most common cause of death in patients with renal diseases. Cardiac arrhythmia and sudden cardiac death are particularly important, and the burden is higher in patients on hemodialysis. The aim of this study is to compare specific ECG changes as markers of arrhythmias in patients with CKD and patients with end-stage renal disease (ESRD); all without clinically manifest heart disease, with normal control subjects. Results Seventy-five ESRD patients on regular hemodialysis, 75 patients with stage 3–5 CKD and 40 healthy control subjects were included. All candidates were subjected to thorough clinical evaluation and laboratory tests including serum creatinine, glomerular filtration rate calculation, serum potassium, magnesium, calcium, phosphorus, iron, parathyroid hormone, and total iron binding capacity (TIBC). Resting twelve-lead ECG was done to calculate P wave dispersion (P-WD), corrected QT interval, QTc dispersion, Tpeak-Tend interval (Tp-e), and Tp-e/QT. Patients with ESRD had a significantly higher QTc dispersion (p
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