ΗΛΕΚΤΡΟΚΑΡΔΙΟΓΡΑΦΙΚΑΙ ΑΛΛΟΙΩΣΕΙΣ ΚΑΙ ΠΡΟΔΙΑΘΕΣΙΚΟΙ ΠΑΡΑΓΟΝΤΕΣ ΣΤΕΦΑΝΙΑΙΑΣ ΝΟΣΟΥ ΕΠΙ ΝΕΦΡΟΠΑΘΩΝ
566 PATIENTS WITH CHRONIC RENAL FAILURE WERE INVESTIGATED FOR THE INCIDENCE OFELECTROCARDIOGRAPHIC ABNORMALITIES AND RISK FACTORS OF CORONARY ARTERY DISEASE. ALSO THE CAUSE AND DURATION OF RENAL FAILURE AND THE BIOCHEMICAL PARAMETERSOF THE UREMIC SYNDROME WERE STUDIED. FROM THE TOTAL OF 566 PATIENTS STUDIED, 406 WERE ON CONSERVATIVE TREATMENT (GROUP A) AND 160 WERE ON CHRONIC HEMODIALYSIS (GROUP B). THE RESULTS ARE AS FOLLOWS: DURATION OF RENAL FAILURE: 34,57 +-39,25 MONTHS. DURATION OF CHRONIC HEMODIALYSIS: 27,83 +- 25,97 MONTHS. THE MOST COMMON CAUSES OF CHRONIC RENAL FAILURE WERE GLOMERULONEPHRITIC (43,63%) ANDOBSTRUCTIVE NEPHROPATHY (25,26%). THE PERCENTAGE OF HYPERTENSIVE AND DIABETIC PATIENTS WAS GREATER (P < 0,001 AND 0,01 < P < 0,05) CORRESPONDINGLY IN GROUP A THAN IN GROUP B, WHERE THAT OF SMOKERS WAS GREATER (0,001 < P < 0,01) IN GROUP B. THE MOST COMMON ELECTROCARDIOGRAPHIC ABNORMALITY WAS LEFT VENTRICULAR HYPERTROPHY (GROUP A: 28,32%, GROUP B: 33,75%). THE PERCENTAGE OF MYOCARDIOISCHEMIA WAS SIGNIFICANTLY MORE COMMON (R < 0,001) ON CONSERVATIVE TREATMENT. THEPERCENTAGE OF MYOCARDIAL INFARCTION WAS 0,88% IN ALL PATIENTS (GROUP A: 0,73%, GROUP B: 1,25%). ARRHYTHMIAS WERE MORE COMMON (0,01 < P < 0,05) IN PATIENTS ON CONSERVATIVE TREATMENT WHERE NON-SPECIFIC ABNORMALITIES WERE MORE COMMON (P < 0,001) IN PATIENTS ON CHRONIC HEMODIALYSIS. THE MEAN VALUE OF BOTH CALCIUMAND SODIUM WERE LOWER (P < 0,001) IN GROUP A WHERE THE MEAN VALUE OF UREA ANDHEMOGLOBIN WERE GREATER (0,005 < P < 0,01 AND P < 0,001 CORRESPONDINGLY).
Chronic hemodialysis, ELECTROCARDIOGRAPHIC CHANGES, Ischemic heart disease, Risk factors of coronary disease, UREMIC SYNDROME, Ηλεκτροκαρδιογραφικές αλλοιώσεις, Ισχαιμική καρδιοπάθεια, ΟΥΡΑΙΜΙΚΟ ΣΥΝΔΡΟΜΟ, ΠΡΟΔΙΑΘΕΣΙΚΟΙ ΠΑΡΑΓΟΝΤΕΣ ΣΤΕΦΑΝΙΑΙΑΣ ΝΟΣΟΥ, Χρόνια αιμοκάθαρση, Ιατρική και Επιστήμες Υγείας, Κλινική Ιατρική, Medical and Health Sciences, Clinical Medicine
Networked Digital Library of Theses and Dissertations
National and Kapodistrian University of Athens