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Authors:
Raihanebahri, Fadouaelfarssani, Jihanefarahat, Saidaeddyb, hajarsaffour, Mohamed Lisri, salihachellak, Abderrahmanboukhira, Morocco
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Abstract:
In chronic
hemodialysis patients, the risk of developing heart disease is significant;
cardiovascular diseases are responsible for a significant number of deaths.
Diagnosis of cardiac damage is often difficult in these patients because
cardiac damage biomarkers such as troponin T may be incidentally elevated.
The
link between cardiac involvement and the elevations seen in this population is
poorly defined. Prospective study including 105 patients; 55 men (52.3%) and 50
women (47.6%), whose average age is 43.19 years, 52% of this population are
hypertensive, 47% are diabetics, 45% are smokers, 19 patients had a history of
heart disease and 49% have dyslipidemia. ECG and echocardiography were
performed routinely in the entire study population as well as a complete
laboratory workup including a routine laboratory workup and cardiac marker:
troponin T.
Patients
in Group I of the ECG results are correlated with the level of troponin T:
85.3%without cardiac involvement, 15.8% aves cardiac injury. for group II
patients the ECG findings are correlated with the level of troponin T without
cardiac 11.5% vs.88.5% with cardiac involvement.
This
study confirms that the level of Troponin T is frequently elevated in chronic
hemodialysis patients, even in the absence of obvious cardiac involvement. A
number of cardiovascular risk factors may be correlated with this elevation and
may constitute independent prognostic markers in these patients.
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