Evaluation of the incidence of heart rhythm disorders based on the type of intradialytic electrolyte variation
Background and aim: Cardiac arrhythmia is common in end-stage renal disease (ESRD) patients, especially those undergoing hemodialysis. One of the most significant risk factors for cardiac arrhythmias is thought to be electrolytic abnormalities. This study aimed to assess the effect of hemodialysis o...
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2023-06-01
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| Series: | Reviews in Clinical Medicine |
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| Online Access: | https://rcm.mums.ac.ir/article_22678_d5c6da7a4b09a582c3845d0ef57dc082.pdf |
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| author | Maryam Hami Mehrdad Sarabi Mehdi Hassanzade Daloee Hassan Mehrad-Majd Abdollah Firoozi Niloofar Nourizadeh Niloofar Nikpasand Sara Naghizadeh Kashani Mina AkbariRad |
| author_facet | Maryam Hami Mehrdad Sarabi Mehdi Hassanzade Daloee Hassan Mehrad-Majd Abdollah Firoozi Niloofar Nourizadeh Niloofar Nikpasand Sara Naghizadeh Kashani Mina AkbariRad |
| author_sort | Maryam Hami |
| collection | DOAJ |
| description | Background and aim: Cardiac arrhythmia is common in end-stage renal disease (ESRD) patients, especially those undergoing hemodialysis. One of the most significant risk factors for cardiac arrhythmias is thought to be electrolytic abnormalities. This study aimed to assess the effect of hemodialysis on cardiac arrhythmias according to electrolytic disorders in chronic kidney disease (CKD) patients.Materials and methods: This cross-sectional study was conducted on ESRD patients who had undergone hemodialysis for at least six months. An electrocardiogram (ECG) and serum levels of sodium, potassium, calcium, and magnesium were checked before and after hemodialysis for all the patients. The data were entered and analyzed using SPSS software.Results: In this study, 96 patients were included. The most common arrhythmia was atrial fibrillation (AF) (22.9%). Our findings revealed that changes in serum potassium levels (p = 0.036) had a significant relationship with the occurrence of AF. There was a significant negative relationship between changes in serum calcium level and the QTc interval (r = -0.223 and p = 0.023). Furthermore, there was a significant positive relationship between changes in serum calcium levels and the QRS complex amplitude (r = 0.350 and p = 0.0001).Conclusion: ECG abnormalities, especially AF arrhythmias, are common in patients undergoing hemodialysis, which highlights the need for ECG monitoring both during and after hemodialysis. |
| first_indexed | 2024-03-11T16:07:38Z |
| format | Article |
| id | doaj.art-bd03185a122b4f3f8b0379c9be31ba3c |
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| issn | 2345-6256 2345-6892 |
| language | English |
| last_indexed | 2024-03-11T16:07:38Z |
| publishDate | 2023-06-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Reviews in Clinical Medicine |
| spelling | doaj.art-bd03185a122b4f3f8b0379c9be31ba3c2023-10-24T19:28:30ZengMashhad University of Medical SciencesReviews in Clinical Medicine2345-62562345-68922023-06-01102273210.22038/rcm.2023.71918.144822678Evaluation of the incidence of heart rhythm disorders based on the type of intradialytic electrolyte variationMaryam Hami0Mehrdad Sarabi1Mehdi Hassanzade Daloee2Hassan Mehrad-Majd3Abdollah Firoozi4Niloofar Nourizadeh5Niloofar Nikpasand6Sara Naghizadeh Kashani7Mina AkbariRad8Associate professor of internal medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Medical Doctor, Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Professor of cardiology department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Assistant professor of molecular medicine, Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.Pharm. D, Mashhad University of Medical Sciences, Mashhad, Iran.Resident of cardiology department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Medical Doctor, Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Medical Doctor, Research Assistant, Thomas Jefferson University, Philadelphia, USA..Associate professor of internal medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Background and aim: Cardiac arrhythmia is common in end-stage renal disease (ESRD) patients, especially those undergoing hemodialysis. One of the most significant risk factors for cardiac arrhythmias is thought to be electrolytic abnormalities. This study aimed to assess the effect of hemodialysis on cardiac arrhythmias according to electrolytic disorders in chronic kidney disease (CKD) patients.Materials and methods: This cross-sectional study was conducted on ESRD patients who had undergone hemodialysis for at least six months. An electrocardiogram (ECG) and serum levels of sodium, potassium, calcium, and magnesium were checked before and after hemodialysis for all the patients. The data were entered and analyzed using SPSS software.Results: In this study, 96 patients were included. The most common arrhythmia was atrial fibrillation (AF) (22.9%). Our findings revealed that changes in serum potassium levels (p = 0.036) had a significant relationship with the occurrence of AF. There was a significant negative relationship between changes in serum calcium level and the QTc interval (r = -0.223 and p = 0.023). Furthermore, there was a significant positive relationship between changes in serum calcium levels and the QRS complex amplitude (r = 0.350 and p = 0.0001).Conclusion: ECG abnormalities, especially AF arrhythmias, are common in patients undergoing hemodialysis, which highlights the need for ECG monitoring both during and after hemodialysis.https://rcm.mums.ac.ir/article_22678_d5c6da7a4b09a582c3845d0ef57dc082.pdfcardiac arrhythmiahemodialysisecg abnormality |
| spellingShingle | Maryam Hami Mehrdad Sarabi Mehdi Hassanzade Daloee Hassan Mehrad-Majd Abdollah Firoozi Niloofar Nourizadeh Niloofar Nikpasand Sara Naghizadeh Kashani Mina AkbariRad Evaluation of the incidence of heart rhythm disorders based on the type of intradialytic electrolyte variation Reviews in Clinical Medicine cardiac arrhythmia hemodialysis ecg abnormality |
| title | Evaluation of the incidence of heart rhythm disorders based on the type of intradialytic electrolyte variation |
| title_full | Evaluation of the incidence of heart rhythm disorders based on the type of intradialytic electrolyte variation |
| title_fullStr | Evaluation of the incidence of heart rhythm disorders based on the type of intradialytic electrolyte variation |
| title_full_unstemmed | Evaluation of the incidence of heart rhythm disorders based on the type of intradialytic electrolyte variation |
| title_short | Evaluation of the incidence of heart rhythm disorders based on the type of intradialytic electrolyte variation |
| title_sort | evaluation of the incidence of heart rhythm disorders based on the type of intradialytic electrolyte variation |
| topic | cardiac arrhythmia hemodialysis ecg abnormality |
| url | https://rcm.mums.ac.ir/article_22678_d5c6da7a4b09a582c3845d0ef57dc082.pdf |
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