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Effect Of Haemodialysis On Intra Dialytic Calcium, Phosphorus, Magnesium, Levels In Relation To Autonomic Nervous System Activity

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Last updated: 03 Jan 2025

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Abstract

Autonomic nervous system dysfunction is common in uremia and in patients under hemodialysis. Changes in serum calcium, serum phosphorus and serum magnesuim always occur during hemodialysis. The relation between these changes and autonomic nervous system activity during hemodialysis has not been fully studied. This study was carried out on 30 patients with chronic renal failure on regular hemo- dialysis with nearly similar age group. We measured serum calcium, serum phosphorus and serum magnesium throughout the session (at predialysis state, middialysis state: after 2 hours of the session and postdialysis: at the end of the hemodialysis Session). We have also assessed autonomic function (sympathetic by cold pressor test and parasympathetic by Valsalva maneuver test). Autonomic function tests were assessed at predialysis state, middialysis state and postdialysis state. Calcuim level uncreased throughout the session (P<0.05), phosphorus leuel and Magnesium levels decreased , (P<0.001) and (P<0.05), throghout session . As reguards parasympathetie dysfunetion, there was a significamt relation (P<0.05) with calcuim changes at predialytic and post dialytic states, a highly significant relation (P<0.001) with phosphorus and (P<0.05) with magnesiun, both at predialysis states. Concerging sympathetie dysfunction, there was a significant relation (P<0.05) with calcium levels at end of session. There was a signifcant relation (P<0.05) with predialytic and postdialytic phosphorus levels .There was also significant relation (P<0.05 ) with predialytic magnesium level.

DOI

10.21608/ejhm.2004.18221

Authors

First Name

Mona

Last Name

Hosny

MiddleName

-

Affiliation

Internal Medicine Departement, Ain Shams University.

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Orcid

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First Name

Sahar

Last Name

Shawky

MiddleName

-

Affiliation

Internal Medicine Departement, Ain Shams University.

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

Ramadan

MiddleName

-

Affiliation

Internal Medicine Departement, Ain Shams University.

Email

-

City

-

Orcid

-

First Name

Hany

Last Name

Refaat

MiddleName

-

Affiliation

Internal Medicine Departement, Ain Shams University.

Email

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City

-

Orcid

-

First Name

Walid

Last Name

Bischary

MiddleName

-

Affiliation

Internal Medicine Departement, Ain Shams University.

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-

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Volume

14

Article Issue

1

Related Issue

3783

Issue Date

2004-01-01

Receive Date

2018-11-02

Publish Date

2004-01-01

Page Start

56

Page End

67

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 14_Issue 1_Pages 56-67.pdf

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https://ejhm.journals.ekb.eg/article_18221.html

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https://ejhm.journals.ekb.eg/service?article_code=18221

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6

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Effect Of Haemodialysis On Intra Dialytic Calcium, Phosphorus, Magnesium, Levels In Relation To Autonomic Nervous System Activity

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Article

Created At

22 Jan 2023