Role of the doppler echocardiography in assessment of fluid status in chronic haemodialysis patients

ABSTRACT

The aim of this study is to examine the role of the Doppler echocardiographic parameters in the assessment of fluid status in these patients with chronic haemodialysis. Sixty subjects were included in this study. Group I Included 20 patients who had been on chronic haemodialysis 6 months at least and were normotensive without receiving anti-hypertensive agents.Group II included 20 patients on chronic haemodialysis 6 months at least and remained hypertensive under anti-hypertensive agents. Group III Included 20 subjects who are apparently normal without history of cardiac disease [con trol group]. The S/D [peak pulmonary vein systolic velocity [s] divided by peak pulmonary vein diastolic vlocity [D]] was significantly higher in group I [mean +/- SD = 1.886 +/- 0.214]. Then in group II [mean +/- SD = 1.123 +/- 0.169] with p-value <0.001. S/D ratio can be used as a good tool to assess the fluid status in chronic haemodialysis patients specially if combined with others as inferior vena cava diameter