We (8%), Diastolic Dysfunction in 19 cases (38%) and

We conducted a study in Rajarajeswari
Medical College and Hospital, Bengaluru where 50 cases of CKD were taken
to
find out ECG
and
Echocardiographic changes commonly
associated with CKD. The mean age of the cases in
our study was 52.5±11.8 years. Most patients in
this study were those who have been diagnosed with
CKD in 0-6 months, accounting 51.67 % of total study population. 27 out of 50 patients had eGFR less
than
15ml/min accounting
for
54% while rest
had eGFR between 16-30 ml/min. 13 out of 50 cases
were on hemodialysis(26%).ECG was normal in
12
out of 50 cases of CKD(24%), LVH present in 14 out of 50(28%), LAD in 8 out of 50(16%), Conduction
disturbances
in 11 out of 50(22%), Ischemia in 10 out of 50(20%), Arrhythmias in 1 out of 50(2%) and P-mitrale was found in 3 out
of
50 cases(6%). The most common ECG change
associated with
cases with CKD was LVH (28%). ECHO was Normal in
11
cases (22%), LVH in 28 cases(56%), Ischemia in 7
cases (14%),Pericardial Effusion in 4 cases (8%),
Diastolic Dysfunction in 19 cases (38%) and
Systolic
Dysfunction in 11 cases (22%). The most common abnormality
found on echo in CKD cases
under study was LVH (56%)
followed
by Diastolic Dysfunction (38%).
Left
ventricular
hypertrophy is the commonest abnormality observed in CKD both on ECG and Echocardiography.
Echocardiography
is
a more sensitive diagnostic
procedure to
detect
left
ventricular
hypertrophy.
After
LVH
most common
abnormality found
on Echocardiography is LVDD.LVH
prevalence
on Echocardiography in CKD patients on HD (72.23%)
and not on HD (46.88%). The difference in the LVH prevalence between two groups was not significant
(p=
0.2942). LVDD prevalence on Echocardiography
in
CKD patients on HD (50%) and not on HD (31.25%).
The difference in the LVDD prevalence
between
two
groups was not significant (p=0.5327).LVSD
prevalence on Echocardiography in CKD patients on HD (27.78%) and not on HD (18.75%).
The difference in the LVSD prevalence between two groups was not significant (p=0.9940).Ischemic changes on Echocardiography
in
CKD patients
on
HD (5.56%) and not on HD (18.75%). The difference
in Ischemic changes
occurrence
between two groups was statistically
significant (p=0.0468). Ischemic changes on ECG in HD (5.6%) and in Non-HD group (28.13%).
The
difference in Ischemic changes occurrence
between
two
groups was not significant (p=0.0883).
Pericardial effusion
and
conduction abnormalities are more common in patients of CKD on hemodialysis. Electrocardiography
and echocardiography are the non-invasive tools which can be used to identify cardiovascular
disease early in the course of CKD. During the evaluation of potential candidates for kidney transplantation,
a special
attention should be paid to the presence of
cardiovascular morbidity.