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The Effect of Hemodialysis on Electrocardiographic Parameters     
Yazarlar
Ramazan Astan
İbrahim Akpınar
Adnan Karan
Fehmi Kaçmaz
Doç. Dr. Erdoğan SÖKMEN Doç. Dr. Erdoğan SÖKMEN
Kırşehir Ahi Evran Üniversitesi, Türkiye
Erkan Baysal
Özcan Özeke
Sağlık Bilimleri Üniversitesi, Türkiye
Mehmet Timur Selçuk
Özet
BackgroundCardiovascular complications are the leading causes of premature deaths in hemodialysis patients. Due to rapid changes in volume and electrolyte concentration following dialysis, the some electrocardiographic (ECG) changes or arrhythmias might be seen.
ObjectiveTo investigate the acute effects of hemodialysis on the ECG parameters in patients with chronic end-stage renal disease (ESRD).
MethodWe included the consecutive ESRD patients who underwent a hemodialysis. Before and after hemodialysis, some 12 lead ECG parameters were analyzed by two different cardiologists by using electronic digital caliper device.
ResultsA total of 62 patients (mean 52 15 years; 65% male) with ESRD undergoing hemodialysis were recruited to the study. P-wave amplitude, QRS amplitude, QRS duration, QTc dispersion, the sum of amplitudes in V1S + V5R derivations, total QRS amplitude, and duration were significantly greater in posthemodialysis patients compared to the prehemodialysis ones. However, T-wave amplitude and QTc duration were significantly lower in posthemodialysis patients.
ConclusionThe ECG changes including prolangated QRS and increased QTc interval after hemodialysis should be kept in mind and assessed carefully in ESRD patients. Prolongation of these parameters may prove to be a further noninvasive marker of susceptibility to ventricular arrhythmias.
Anahtar Kelimeler
ECG | electrocardiography | hemodialysis
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı ANNALS OF NONINVASIVE ELECTROCARDIOLOGY
Dergi ISSN 1082-720X
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 05-2015
Cilt No 20
Sayı 3
Sayfalar 253 / 257
Doi Numarası 10.1111/anec.12209
Makale Linki http://doi.wiley.com/10.1111/anec.12209
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
WoS 16
The Effect of Hemodialysis on Electrocardiographic Parameters

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