Background: Chronic kidney disease (CKD) seems to be a serious issue which is becoming increasingly prevalent worldwide. The prevalence of hypertension, DM, and cardiovascular illnesses all contribute to an increase in the burden of CKD.
Aim of the Work: Utilizing 2D speckle tracking echocardiography as a noninvasive and quantitative method to evaluate the function of the RV in chronic hemodialysis patients.
Patients and Methods: This research compared 50 chronic hemodialysis patients (group I) referred to the Department of Cardiology at Sayed Galal University Hospital to 10 healthy individuals (group II) of matched age and gender. They were assessed for baseline characteristics, admission data, electrocardiography and echocardiographic parameters.
Results: Hemodialysis patients had significantly lower RV global longitudinal strain. The global RVLS (right ventricle longitudinal strain) has been shown to be significantly inversely related to age and RV diameters (longitudinal diameter and mid cavity diameter) and tricuspid E∕A ratio. While it showed significant positive correlation with FAC and LV ejection fraction. In group I patients, the tricuspid valve's E wave velocity and the tricuspid E/A ratio were both substantially lower. The tricuspid valve's A\ wave velocity was considerably higher in group I patients. A significant reduction has been found in the tricuspid valve E\ and S velocities in group I patients, whereas the A velocities of the tricuspid valve were significantly enhanced. In group I patients, MPI was significantly higher