title: Intradialytic Muscle Cramp and its Association with Peripheral Arterial Disease in End Stage Renal Disease Patients on Hemodialysis.
abstract: BACKGROUND
  Muscle cramp is a common intradialytic complication observed in hemodialysis patients. Similarly Peripheral arterial disease is a common condition in the hemodialysis population.
  
  
  METHODS
  Fifty patients with a diagnosis of End Stage Renal Disease who were on hemodialysis were studied over a period of one year. Muscle cramp was defined clinically as contractions of a large muscle group and Peripheral arterial disease was diagnosed on the basis of the ankle -brachial index (ABI).
  
  
  RESULTS
  A total of 50 End Stage Renal Disease patients were analyzed. The major causes of End Stage Renal Disease in the study population was Chronic Glomerulonephritis 40 % (n=20). Muscle cramps were present in 26% (n=13) cases. Peripheral arterial disease was present in 30% (n=15) of patients. However there was no statistically significant association between the presence of Intradialytic Muscle cramps and peripheral arterial disease (p value =0.18) CONCLUSIONS: Intradialytic Muscle cramps and peripheral arterial disease were common occurrence in end stage renal disease patients on hemodialysis patients, however there was no association between the presence of intradialytic Muscle cramps and peripheral arterial disease.
authors.affiliation: Department of Nephrology, College of Medical Sciences Teaching Hospital, Chitwan, Nepal.
authors.forename: M
authors.initials: M
authors.lastname: Ghimire
authors.affiliation: Department of Cardiology, College of Medical Sciences Teaching Hospital, Chitwan, Nepal.
authors.forename: S K
authors.initials: SK
authors.lastname: Sharma
authors.affiliation: Department of Pediatrics, Nobel Medical College Teaching Hospital, Biratnagar, Nepal.
authors.forename: R
authors.initials: R
authors.lastname: Chimoriya
authors.affiliation: Department of Nephrology, College of Medical Sciences Teaching Hospital, Chitwan, Nepal.
authors.forename: G C
authors.initials: GC
authors.lastname: Das
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D055109:Ankle Brachial Index; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009120:Muscle Cramp / Q000453:epidemiology / Q000209:etiology*; D009390:Nepal / Q000453:epidemiology; D058729:Peripheral Arterial Disease / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D015995:Prevalence; D006435:Renal Dialysis / Q000009:adverse effects
keywords: end stage renal disease; intradialytic muscle cramps; peripheral arterial disease.