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Sharma, Manjuri
- Clinical Study of Cardiovascular Complications in Chronic Kidney Disease Patients with Special Reference to Echocardiography
Abstract Views :196 |
PDF Views:81
Authors
Affiliations
1 Dept of Nephrology, Gauhati Medical College and Hospital, Guwahati, Assam, IN
2 Gauhati Medical College and Hospital, Guwahati, Assam, IN
3 Department of Nephrology, Gauhati Medical College and Hospital, Guwahati, Assam, IN
1 Dept of Nephrology, Gauhati Medical College and Hospital, Guwahati, Assam, IN
2 Gauhati Medical College and Hospital, Guwahati, Assam, IN
3 Department of Nephrology, Gauhati Medical College and Hospital, Guwahati, Assam, IN
Source
International Journal of Health Research and Medico Legal Practice, Vol 3, No 1 (2017), Pagination: 44-47Abstract
Background: Cardiovascular abnormalities are commonly encountered in patients with chronic kidney disease (CKD) or end stage renal disease (ESRD) and these include left ventricular hypertrophy (LVH), left ventricular dilatation, and left ventricular systolic and diastolic dysfunction. Uremic cardiomyopathy is thought to be the pathological cardiac hypertrophy, indicating the influence of impaired renal function on the myocardium. Cardiovascular complications lead in all causes of mortality among patients with CKD, accounting for approximately 50% of deaths. Method: It was a hospital based study conducted from March 2014 to March 2015 in Guwahati Medical College where CKD patients were evaluated for presence of any cardiovascular morbidity. Results: Cardiomegaly on chest x-ray was present in 64% of the patients. Electrocardiography and 2D echocardiography of patients revealed LVH in76% and 84% of patients. Left ventricular systolic dysfunction (LVSD) was found in 52 % of patient of which 34 % had mild dysfunction (LVEF= 45% -54%) and 18 % had moderate dysfunction (LVEF= 35% -44%). Diastolic dysfunction was found in 54 % of patient. Conclusion: Cardiovascular complications are common in patients with chronic kidney disease, which is an important cause of morbidity and mortality in these patients and the most common morbidity found in this study was left ventricular hypertrophy.Keywords
Chronic Kidney Disease, Cardiovascular Complications, Echocardiography.Full Text
References
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- Mercury Poisoning with Acute Kidney Injury
Abstract Views :433 |
PDF Views:90
Authors
Affiliations
1 Dept. of Nephrology, Gauhati Medical College and Hospital, IN
2 Gauhati Medical College and Hospital, Guwahati, Assam, IN
1 Dept. of Nephrology, Gauhati Medical College and Hospital, IN
2 Gauhati Medical College and Hospital, Guwahati, Assam, IN
Source
International Journal of Health Research and Medico Legal Practice, Vol 4, No 1 (2018), Pagination: 102-104Abstract
Exposure to inorganic mercury or mercuric salt can occur as an occupational hazard or suicidal attempt and can cause vomiting, severe abdominal pain, gastrointestinal bleeding, hypovolemic shock and renal tubular necrosis leading to oliguria or anuria. Hemodialysis is used in severe cases of toxicity when renal function has declined. This report aims at highlighting the clinical presentation and course of a case of mercuric poisoning who was treated with hemodialysis. This article reports a case of mercury poisoning whose renal failure improved with high flux hemodialysis. A 25 years old girl ingested a heavy metal compound containing Mercuric chloride obtained from her place of work in a deliberate suicidal attempt, following which she developed massive hematemesis, hypotension and developed renal failure with anuria. She was treated with broad spectrum antibiotics, IV pantoprazole and high flux hemodialysis. Renal biopsy was suggestive of acute tubular necrosis. After 7 hemodialysis her urine output began to improve and dialysis was stopped. Her renal function gradually improved and her blood mercury level also decreased. We have here by presented a case of mercury intoxication with acute tubular necrosis in a 25-year old woman, with an excellent improvement of the renal failure and normalization of laboratory results with high flux hemodialysis.Keywords
High Flux Dialysis, Renal Biopsy, Acute Tubular Necrosis.Full Text
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