RELATIONSHIP BETWEEN THE EJECTION FRACTION IN ECHOCARDIOGRAPHY WITH KIDNEY FUNCTION IN HEART FAILURE PATIENTS

Ananda Nikmaturrahmi Lubis; Rahmad Isnanta; Refli Hasan

Volume : VIII, Issue : IV, April - 2019

RELATIONSHIP BETWEEN THE EJECTION FRACTION IN ECHOCARDIOGRAPHY WITH KIDNEY FUNCTION IN HEART FAILURE PATIENTS

Ananda Nikmaturrahmi Lubis, Rahmad Isnanta, Refli Hasan

Abstract :

Cardiovascular disease is often associated with kidney disease, which increases the mortality rate of individuals with kidney disease (± 50%), and is a higher cause of death than kidney disease itself. In cases of heart failure, kidney dysfunction is often mild and asymptomatic, and is often accidentally detected on routine biochemical examinations. Therefore it is very important to identify from the outset of kidney biochemical abnormalities in patients with heart failure, because the examination is useful in assessing the severity and duration of heart failure. With the identification of early abnormalities and providing adequate therapy for the underlying causes of heart failure, it can restore kidney function and prevent permanent damage. In this study used a cross–sectional study conducted at the Medan General Hospital RSUP starting in June 2017 until the number of samples was fulfilled. An echocardiographic examination is performed to assess the ejection fraction and to examine kidney function. There are 52 patients with a diagnosi of heart failure. Found men who suffer from heart failure (69.2%). With the most age between 46–65 years (61.5%). The ejection fraction in this study was 73.1% were HFrEF. With a higher creatinine average (1.82 ± 0.77) in the ejection fraction ≤ 40%. Based on Chi–Square analysis there was a relationship between ejection fraction and urea (p = 0.003) and there was a relationship between ejection fraction and creatinine (p = 0.04).