Yazarlar |
Ramazan Astan
|
İbrahim Akpınar
|
Adnan Karan
|
Fehmi Kaçmaz
|
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 |