Beta
231668

Echocardiography Parameters During Long And Short Interdialytic Intervals In Hemodialysis Patients

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

-

Abstract

Background: In patients receiving haemodialysis (HD) cardiovascular disease  is the leading cause of mortality. Most HD patients follow the typical schedule of three sessions per week, and thus remain outside dialysis for (~ 2 days in duration) short intervals and for a longer interval (~3 days) at the end of each week. Objective: Comparison between echocardiographic parameters during the 2- day (short) and 3-day (long) interdialytic intervals in prevalent HD patients.Patients and Methods: The study involved 30 stable prevalent HD patients on thrice weekly regimen. Echocardiography was done before and after the short and long interdialytic interval to study left and right ventricle functions and inferior vena cava (IVC) diameter. Patients' mean age was 56.23 ± 12.31 years (43.4% females and 56.7% males).  Results: Comparison of echocardiographic measurements was done before and after dialysis between the short (2-days) and long (3-day) interdialytic interval groups (Group 1 Vs Group 2) we found that there were statistically highly significant differences among left pulmonary capillary wedge pressure (PCWP), IVC diameter and interdialytic weight change after dialysis session between the short and the long interdialytic interval patients' groups. The intradialytic weight gain (2.45 ± 1.13 vs 1.19 ± 0.78   kg), IVC diameter (11 ± 2.98 vs 9.62 ± 2.32) and PCWP (11.13 ± 2.3 vs 10.13 ± 1.55) increases were higher during the 3-day versus the 2-day interval (P < 0.001 ). There were no statistically significant differences between left ventricular (LV) systolic and diastolic dimensions, septum affection, ejection fraction, or pulmonary artery pressure. Conclusion: IVC, PCWP and intradialytic weight increase was higher during the 3-day versus the 2-day interval in post dialysis comparison. IVC, PCWP and intradialytic weight gain reflect degree of volume overload and their increase especially after interdialytic interval call for need to evaluate timing and frequency of prescribed HD regimens for some HD patients.  

DOI

10.21608/ejhm.2022.231668

Keywords

Hemodialysis, Long interdialytic interval, Echocardiography

Authors

First Name

Abdelbassit Shaarawy

Last Name

Abdelazim

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

First Name

Badawy Labeeb

Last Name

Mahmoud

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

First Name

Hoda Gamal Eldin Ali

Last Name

Ibrahim

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

First Name

Fatma Abdelrahman

Last Name

Ahmed

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

Volume

87

Article Issue

1

Related Issue

31467

Issue Date

2022-04-01

Receive Date

2022-04-18

Publish Date

2022-04-01

Page Start

1,961

Page End

1,968

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_231668.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=231668

Order

160

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

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

MainTitle

Echocardiography Parameters During Long And Short Interdialytic Intervals In Hemodialysis Patients

Details

Type

Article

Created At

22 Jan 2023