title: The Relationship Between Hemodialysis and the Echocardiographic Findings in Patients with Chronic Kidney Disease.
abstract: BACKGROUND
  The incidence of cardiac morbidity and mortality is high in patients treated with hemodialysis (HD). The aim of this study was to evaluate the relationship between HD and the echocardiographic findings in patients with chronic kidney disease (CKD).
  
  
  METHODS
  Between 2012 and 2014, 150 patients with CKD. The echocardiographic data were done based on American Society of Cardiology (ASE). Measurement method for Ejection Fraction was E balling and for Diastolic Function was Tissue Doppler. Anemia, thyroid conditions and dialysis through an arteriovenous fistula or permanent catheter of dialysis for the patients are not considered.
  
  
  RESULTS
  The mean age at diagnosis for the patients was 57.8 years, 52.7% were males. Out of 150 patients, 112 patients (74.7%) had diabetes and 117 patients (78%) had a history of hypertension. The prevalence of all echocardiographic findings was more after the first dialysis compared with before the first dialysis in diabetic patients (P<0.05), but in non-diabetic patients, was not for the tricuspid valve stenosis, impaired right ventricular volume, systolic dysfunction and pulmonary hypertension (P>0.05).
  
  
  CONCLUSIONS
  According to the findings of this study, seems that more accurate selection of patients for dialysis, paying special attention to hemodynamic change during dialysis, patient education about diet and better control of uremia and diabetes is essential.
authors.affiliation: Nephrology and Urology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Hamidreza
authors.initials: H
authors.lastname: Omrani
authors.affiliation: Imam Reza Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Sanam
authors.initials: S
authors.lastname: Golshani
authors.affiliation: Nephrology and Urology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Vahid
authors.initials: V
authors.lastname: Sharifi
authors.affiliation: Department of Biostatistic and Epidemiology, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Afshin
authors.initials: A
authors.lastname: Almasi
authors.affiliation: Medical Biology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Masoud
authors.initials: M
authors.lastname: Sadeghi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D003430:Cross-Sectional Studies; D004452:Echocardiography; D005260:Female; D006801:Humans; D007492:Iran; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D051436:Renal Insufficiency, Chronic / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D055815:Young Adult
keywords: Chronic kidney disease; Echocardiography; Hemodialysis