PMID- 8644592
OWN - NLM
STAT- MEDLINE
DCOM- 19960716
LR  - 20190626
IS  - 0002-8703 (Print)
IS  - 0002-8703 (Linking)
VI  - 131
IP  - 6
DP  - 1996 Jun
TI  - Electrocardiographic abnormalities in patients receiving hemodialysis.
PG  - 1137-44
AB  - We assessed standard 12-lead and Holter electrocardiographic (ECG) abnormalities 
      in maintenance hemodialysis (HD) patients. Of 221 outpatients receiving HD, 143 
      (65%) had ECG abnormalities. Rates were higher in male, elderly, hypertensive, 
      and diabetic patients than in female, younger, normotensive, and nondiabetic 
      patients. The prevalence of ECG changes correlated inversely with HD duration. 
      Serial ECGs were compared in 87 patients whose average HD duration was 7.5 +/- 
      2.5 years. Thirty-four patients (39%) showed normal ECGs throughout, 27 (31%) 
      relatively stable abnormalities, 22 (25%) worsening, and 4 (5%) reversion to 
      normal. Age, hypertension, and diabetes are factors related to abnormal ECG 
      findings. Among the 142 Holter recordings from 72 patients, 70 (97%) were 
      basically in sinus rhythm, and 2 (3%) were in atrial fibrillation. The average 
      frequency of supraventricular premature contractions (SVPCs) was 1597 +/- 9725 
      per 24 hours, and that of ventricular premature contractions (VPCs), 556 +/- 
      1415. VPCs were multifocal in 9%, in runs in 25%, and early in 1%. In 29 (40%) of 
      recordings, VPCs appeared mainly during and for several hours after HD. ST-T 
      changes were seen in 43 (60%). In 11, ST depression occurred during and a few 
      hours after HD. Patients receiving HD showed diverse ECG abnormalities. Holter 
      ECGs revealed a high incidence of arrhythmias and ST-T changes, which frequently 
      appeared in relation to HD timing.
FAU - Abe, S
AU  - Abe S
AD  - Department of Internal Medicine, Keio University, Tokyo, Japan.
FAU - Yoshizawa, M
AU  - Yoshizawa M
FAU - Nakanishi, N
AU  - Nakanishi N
FAU - Yazawa, T
AU  - Yazawa T
FAU - Yokota, K
AU  - Yokota K
FAU - Honda, M
AU  - Honda M
FAU - Sloman, G
AU  - Sloman G
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am Heart J
JT  - American heart journal
JID - 0370465
SB  - IM
CIN - Am Heart J. 1997 Dec;134(6):1138-40. PMID: 9424077
MH  - Adolescent
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Arrhythmias, Cardiac/diagnosis/*etiology
MH  - Cardiac Complexes, Premature/etiology
MH  - Diabetes Complications
MH  - *Electrocardiography, Ambulatory
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Hypertension/complications
MH  - Kidney Failure, Chronic/therapy
MH  - Male
MH  - Middle Aged
MH  - Renal Dialysis/*adverse effects
EDAT- 1996/06/01 00:00
MHDA- 1996/06/01 00:01
CRDT- 1996/06/01 00:00
PHST- 1996/06/01 00:00 [pubmed]
PHST- 1996/06/01 00:01 [medline]
PHST- 1996/06/01 00:00 [entrez]
AID - S0002-8703(96)90088-5 [pii]
AID - 10.1016/s0002-8703(96)90088-5 [doi]
PST - ppublish
SO  - Am Heart J. 1996 Jun;131(6):1137-44. doi: 10.1016/s0002-8703(96)90088-5.