This work was carried out on 40 patients with chronic renal failure in order to
study echocardiographic changes in such patients. They were classified into 4 groups
(each contained 10 patients) according to the modes of therapy; conservative therapy,
hemodialysis, peritoneal dialysis and renal transplantation. It was found that there is
significant dilatation of the cardiac chambers in all groups. However, such dilatation
was more marked in peritoneal dialysis and transplantation groups, the least dilatation
was observed in hemodialysis group. The highest incidence of asymmetric septal hypertrophy
was noticed in peritoneal dialysis groups. Aortic and mitral regurgitation
were more frequent in peritoneal dialysis group as this group possesses the highest dimensions
of cardiac chambers and highest volume overload. Therefore, early detection
of these changes by echocardiography might enable us to prevent further deterioration
and to decrease the risk of cardiovascular complications and to select the suitable mode
of therapy for uremic patients. |
