Abstract: The monitoring of hemodialysis patients with ECG changes in the diagnosis and prediction of long-term hemodialysis were coronary heart disease in a safe and effective means. (Am J Kidney Dis 2000; 36:592-599.)
WESTPORT, CT (Reuters Medical News) in September, according to the American Journal of Nephrology reported that the monitoring of ECG changes in hemodialysis is to diagnose and predict long-term hemodialysis were coronary heart disease in a safe and effective means.
Osaka, Japan, National Cardiovascular Center (the National Cardiovascular Center) of Dr. Satoko Nakamura and his colleagues on the 61 cases of hospitalization due to cardiac symptoms of long-term hemodialysis were implemented ECG. Male 50, female 11, average age 61 years old, their average follow-up of 21 months.
The researchers observed 18 patients (positive-ST group) exists in ECG ST segment depression, in another 43 patients were not found (negative-ST group). They also found that "ST-segment depression in hemodialysis in patients with coronary artery disease and coronary heart disease is different."
100% positive-ST patients and 40% of negative-ST patients with coronary heart disease. In the 21 months of follow-up, all positive-ST patients had had a heart attack, in the negative-ST group, 21 were occurred. Investigators report, the positive-ST group after a heart attack survival significantly worse than the negative group.
The author points out that by the hemodialysis-induced ST-segment depression in predicting cardiac events, independent of other factors such as age, past history of myocardial infarction and other factors.
Finally, Nadamura Dr. Working Group concluded: "ST-segment depression in hemodialysis to be effective in the diagnosis of symptomatic patients with coronary heart disease, and is considered one of the events of the next issue as an important predictor."
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment