Study of cardiac events during hemodialysis in end stage renal diseases

This study included 40 male patients with end stage renal disease [ESRD] on hemodialysis [HD] for more than six months, three times/week and 20 healthy subjects as controls. All of them were subjected to laboratory investigations, resting ECG, Holter ECG monitor and echocardiographic examination for the assessment of cardiovascular disorders and its risk factors. Arrhythmia and other ECG changes were found in all patients and in only two of the controls. Patients developed arrhythmia and ischemia during HD sessions, which was improved after dialysis. All patients showed structural changes in the myocardium, which were explained by the presence of anemia, increased serum uric acid, hyperparathyroidism and hypertension