OF ECHOCARDIOGRAPHY IN DETECTION OF CARDIOVASCULAR DISORDERS
IN PATIENTS ON CHRONIC HEMODIALYSIS
S. Nuhbegović1, F. Ljuca1, M. Merić2, A. Halilbašić3, J. Karamehić3
and I. Terzić2,
of Psyhology Medical Faculty Tuzla1, Internal Clinic, Department
of Cardiology2, and Department of Nephrology Dialysis and
Transplantation3, University Clinical Center Tuzla, Bosnia
Background: Cardiovascular complication
is the commonest cause of death in patients of hemodialysis. We
prospectively studied 40 patients on chronic hemodialysis at UKC
Tuzla. The following echo parameters were obtained by using the
m-mode and two-dimensional echocardiography: IVS, LVPW, LVEDD,
LVESD, EF, FS. Echocardiography demonstrated: left ventricular
hypertrophy in 65%, left ventricular dilatation and systolic dysfunction
in 22,5% patients. Normal echo findings had 12,5% patients.
Conclusion: Hemodialysis is a stressful
hemodynamic procedure which requires a good cardiovascular compliance.
Echocardiographic assessment should be obtained in every patient
before the commencement of dialysis.