Immediate Effect of Hemodialysis on Left Ventricular Functions of Patient with End Stage Renal Diseases Assessed by Three-Dimensional Echocardiography

Abstract

Background: Patients with end stage renal disease under hemodialysis are at increased risk for morbidities and mortality. Cardiovascular diseases are independent risk for death among those patients. Echocardiography is a non-invasive method that helps identification of the problem and risk stratification.Aim of the work: The study aimed to determine whether left ventricular function differs in pre-dialytic compared with post-dialytic periods, and to recognize relationship between hemodialysis and left ventricular function.Patients and Methods: Patients undergoing hemodialysis in the duration between August 2022 and February 2023 in Alhussein University Hospitals were eligible to participate. They underwent echocardiographic assessment in 2 times; pre- and immediately after dialysis session.Results: Fifty patients undergoing regular hemodialysis were recruited in the study. Their mean age was 48.92 ± 6.93 years old. 70% of patients [35 patients] were males. All patients were hypertensive, while 46% of them [23 patients] were diabetic. We found that there was a slight improvement of both systolic and diastolic functions assessed by M-mode, Simpson method, 3D and Doppler study. however, none of this improvement was statistically significant.Conclusion: No significant change in both cardiac structure and function can occur immediately after the dialysis sessions. That is why longer follow up period is recommended for future research.

Keywords

• 3d echocardiography
• left ventricular function
• hemodialysis
• end stage renal disease