سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Hami, Maryam, Sarabi, Mehrdad, Hassanzade Daloee, Mehdi, Mehrad-Majd, Hassan, Firoozi, Abdollah, Nourizadeh, Niloofar, Nikpasand, Niloofar, Naghizadeh Kashani, Sara, AkbariRad, Mina. (1402). Evaluation of the incidence of heart rhythm disorders based on the type of intradialytic electrolyte variation. , 10(2), 27-32. doi: 10.22038/rcm.2023.71918.1448
Maryam Hami; Mehrdad Sarabi; Mehdi Hassanzade Daloee; Hassan Mehrad-Majd; Abdollah Firoozi; Niloofar Nourizadeh; Niloofar Nikpasand; Sara Naghizadeh Kashani; Mina AkbariRad. "Evaluation of the incidence of heart rhythm disorders based on the type of intradialytic electrolyte variation". , 10, 2, 1402, 27-32. doi: 10.22038/rcm.2023.71918.1448
Hami, Maryam, Sarabi, Mehrdad, Hassanzade Daloee, Mehdi, Mehrad-Majd, Hassan, Firoozi, Abdollah, Nourizadeh, Niloofar, Nikpasand, Niloofar, Naghizadeh Kashani, Sara, AkbariRad, Mina. (1402). 'Evaluation of the incidence of heart rhythm disorders based on the type of intradialytic electrolyte variation', , 10(2), pp. 27-32. doi: 10.22038/rcm.2023.71918.1448
Hami, Maryam, Sarabi, Mehrdad, Hassanzade Daloee, Mehdi, Mehrad-Majd, Hassan, Firoozi, Abdollah, Nourizadeh, Niloofar, Nikpasand, Niloofar, Naghizadeh Kashani, Sara, AkbariRad, Mina. Evaluation of the incidence of heart rhythm disorders based on the type of intradialytic electrolyte variation. , 1402; 10(2): 27-32. doi: 10.22038/rcm.2023.71918.1448

Evaluation of the incidence of heart rhythm disorders based on the type of intradialytic electrolyte variation

Reviews in Clinical Medicine
دوره 10، شماره 2، شهریور 2023، صفحه 27-32    اصل مقاله (498.64 K)
نوع مقاله: Original article
شناسه دیجیتال (DOI): 10.22038/rcm.2023.71918.1448
نویسندگان
Maryam Hami1؛ Mehrdad Sarabi2؛ Mehdi Hassanzade Daloee3؛ Hassan Mehrad-Majd4؛ Abdollah Firoozi5؛ Niloofar Nourizadeh6؛ Niloofar Nikpasand2؛ Sara Naghizadeh Kashani7؛ Mina AkbariRad* 1
1Associate professor of internal medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2Medical Doctor, Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3Professor of cardiology department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4Assistant professor of molecular medicine, Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
5Pharm. D, Mashhad University of Medical Sciences, Mashhad, Iran.
6Resident of cardiology department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
7Medical Doctor, Research Assistant, Thomas Jefferson University, Philadelphia, USA..
چکیده
Background and aim: Cardiac arrhythmia is common in end-stage renal disease (ESRD) patients, especially those undergoing hemodialysis. One of the most significant risk factors for cardiac arrhythmias is thought to be electrolytic abnormalities. This study aimed to assess the effect of hemodialysis on cardiac arrhythmias according to electrolytic disorders in chronic kidney disease (CKD) patients.
Materials and methods: This cross-sectional study was conducted on ESRD patients who had undergone hemodialysis for at least six months. An electrocardiogram (ECG) and serum levels of sodium, potassium, calcium, and magnesium were checked before and after hemodialysis for all the patients. The data were entered and analyzed using SPSS software.
Results: In this study, 96 patients were included. The most common arrhythmia was atrial fibrillation (AF) (22.9%). Our findings revealed that changes in serum potassium levels (p = 0.036) had a significant relationship with the occurrence of AF. There was a significant negative relationship between changes in serum calcium level and the QTc interval (r = -0.223 and p = 0.023). Furthermore, there was a significant positive relationship between changes in serum calcium levels and the QRS complex amplitude (r = 0.350 and p = 0.0001).
Conclusion: ECG abnormalities, especially AF arrhythmias, are common in patients undergoing hemodialysis, which highlights the need for ECG monitoring both during and after hemodialysis.
کلیدواژه‌ها
Cardiac arrhythmia؛ hemodialysis؛ ECG abnormality
آمار
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