ECHOCARDIOGRAPHIC ASSESSMENT OF LEFT VENTRICULAR HYPERTROPHY IN PATIENTS OF CHRONIC RENAL FAILURE

DR.K.V.CHALAPATHI RAO; DR.ACHIMSETTY ANVESH KUMAR; DR.ANDE ADARSH

Volume : VI, Issue : XII, December - 2017

ECHOCARDIOGRAPHIC ASSESSMENT OF LEFT VENTRICULAR HYPERTROPHY IN PATIENTS OF CHRONIC RENAL FAILURE

Dr. K. V. Chalapathi Rao, Dr. Achimsetty Anvesh Kumar, Dr. Ande Adarsh

Abstract :

BACKGROUND AND OBJECTIVES: Left Ventricular Hypertrophy (LVH) is a major Echocardiographic finding in Chronic Renal Failure (CRF) and there is scanty information on the prevalence of Left Ventricular Hypertrophy and nature of LVH in patients with CRF. Aim of the present study is to estimate the prevalence of LVH by Echocardiography in patients with CRF and to find out Correlation of LVH with severity of CRF.

METHODS: A total of 100 Chronic Renal Failure patients admitted or who visited on out–patient basis to KMC&H, over a period of 2 years formed the study population. Detailed history, clinical evaluation, laboratory investigations, Echocardiography was carried out.

RESULTS: The Prevalence of Left Ventricular Hypertrophy in Chronic Renal failure was 69%, consisting of 67% males and 33% females, majority of the patients age group was between 51–60 years and 61–70 years. In the present study, we found that Left Ventricular Mass Index (LVMI) which reflects Left Ventricular Hypertrophy (LVH) showed a progressive rise with increase in severity of renal failure with 17% of Mild CRF category having LVH as compared to 26% of Moderate CRF category and 57% of patients of Severe CRF category having LVH.

CONCLUSION: The present study shows that patients with CRF have higher LVMI and higher prevalence of LVH, which is more marked in patients with severe CRF. The high prevalence of LVH in these populations on echocardiography implies that these patients require detailed cardiovascular evaluation despite absence of symptoms, and also that various efforts aimed at prevention and control of LVH should be started early during the course of renal insufficiency.