Echocardiographic Patterns in Severe Chronic Kidney Disease with Type 4 Cardiorenal Syndrome Patients

Authors

  • Rajesh Kumar Ghose Assistant Professor, Cardiology, Rajshahi Medical College, Rajshahi, Bangladesh
  • Md Rezaul Karim Assistant Professor, Cardiology, Rajshahi Medical College, Rajshahi, Bangladesh
  • Harisul Hoque Professor, Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Rais Uddin Mondol Professor, Cardiology, Rajshahi Medical College, Rajshahi, Bangladesh
  • Rita Ghosh Lecturer, Pharmacology, Rajshahi MedicalCollege, Rajshahi, Bangladesh

DOI:

https://doi.org/10.3329/taj.v35i1.61134

Keywords:

Echocardiography, Type 4 cardiorenal syndrome, Chronic kidney disease

Abstract

Changes in cardiac structure and function detected by echocardiography are common in patients with type 4 cardiorenal syndrome and have been recognized as key outcome predictors. This study aimed to evaluate echocardiographic patterns in severe chronic kidney disease CKD in type 4 cardiorenal syndrome patients. This was a descriptive type of cross-sectional study. The study was carried out in the Cardiology and Nephrology Department of Bangabandhu Sheikh Mujib Medical University, Dhaka. After exclusion total of 44 patients having severe CKD (GFR <30 ml/min/1.73 m2) with type 4 cardiorenal syndrome were included in this study. All patients underwent echocardiography.  Most of the patients with type 4 cardiorenal syndrome were in the 6th decade (Mean age was 58.9±5.9 (SD)in severe CKD with male predominant. Ischemic heart disease(65.9%), arrhythmia(13.63%), and heart failure(22.72%) were significantly noted in severe CKD in type 4 cardiorenal syndrome patients. Mean systolic blood pressure was 178.2±18.7 mmHg & mean diastolic blood was 97.7±5.9 mmHg among the study subjects.  Left ventricular hypertrophy (54.6%), systolic dysfunction (27.3%), pericardial effusion (36.4%), valvular calcification (63.6%), and diastolic dysfunction (54.5%) were most common finding in severe CKD with type 4 cardiorenal syndrome.  The study recommended that a Careful analysis of echocardiographic findings in patients with type 4 cardiorenal syndrome may discover the signs of cardiovascular changes. Thus appropriate measures can be taken. From this current study, it is evident that most of the patients with type 4 CRS with severe CKD developed left ventricular hypertrophy, so periodic 24-hour ambulatory blood pressure monitoring may be advised to address the unusual rise of blood pressure and treat it properly.

TAJ 2022; 35: No-1: 11-16

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Published

2022-08-10

How to Cite

Ghose, R. K. ., Karim, M. R. ., Hoque, H. ., Mondol, R. U., & Ghosh, R. . (2022). Echocardiographic Patterns in Severe Chronic Kidney Disease with Type 4 Cardiorenal Syndrome Patients. TAJ: Journal of Teachers Association, 35(1), 11–16. https://doi.org/10.3329/taj.v35i1.61134

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Section

Original Articles