Role of Electrocardiogram for Rapid Detection of Arrhythmia in End Stage Renal Disease Patient in Babylon Province | ||
| Journal of University of Babylon | ||
| Article 1, Volume 24, Issue 7, September 2016, Pages 1867-1874 | ||
| Authors | ||
| Ali Jasim M. AL-Sultani; Hassanain Mohammed Saeed Abdul Amir; Ahlam Kadhim Abood AL-Hamdany | ||
| Abstract | ||
| The cardiovascular diseases and their complications are the major causes of death of patients with chronic kidney disease and on dialysis. Aim : Role of non invasive rapid methods, like ECG, in predicting arrhythmias in end stage renal disease patients on hemodialysis. Methods: 60 patients (23 female, 37 male) with end stage renal disease on hemodialysis were enrolled in this cross sectional study with mean age (52 ± 5.5), A resting 12-lead surface ECG was recorded for each patient, measurement of the longest and shortest intervals QT interval and correction of these intervals by using Bazett's square root formula. QT-dispersion is measured by finding the difference between these intervals. The Tp-Te is measured in each precordial lead and is obtained from the difference between QT interval and QTpeak interval. The LVH is evaluated by Two-dimensional echocardiography. Measurement of QRS duration and PR interval were done. Results : Percentage and range of Abnormal values of these parameters includes: QTc interval 83.3 % (456-554 mSec) , QT-dispersion 67% (81-111mSec), TpTe 22.2%(110-120 mSec), PR interval 5% (0.22-0.24 Sec) with no abnormal QRS duration (0%) . Other findings : peaked T-wave (20%).70% of the patients had LVH. Patients were divided into those with LVH and those without LVH, maximal QT-dispersion is greater in the group with LVH than those without LVH (44%, 22% respectively), but statistically there is no significant difference. Conclusion : Electrocardiograms are low cost diagnostic tools for renal therapy centers, and nephrologists must consider QT interval, as measurement of QT and QTc dispersion is a simple bedside method to be used for analyzing ventricular repolarization during hemodialysis | ||
| Keywords | ||
| interval; dispersion | ||
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