Effects of Dialysis Modality on Heart Rate Variability

The results were compared to 30 healthy controls.RESULTS: The patients with chronic kidney disease on dialysis therapy had significantly lower heart rate variability compared to control subjects (for SDNN and pNN50; 95.4±31.5 vs. 127.5±38.8; p=0.001 and 8.3±6.1 vs. 16±9; p

📌 3 Key Takeaways

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Objective & Hypothesis:OBJEcTIVE: Patients with chronic kidney disease have a worse prognosis and carry a high risk of cardiovascular death and in particular sudden cardiac death.

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Key Findings & Data:Reduced heart rate variability predicted an increased risk of mortality in non-dialysis chronic kidney disease and patients on chronic dialysis treatment.

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Conclusion & Impact:The results were compared to 30 healthy controls.RESULTS: The patients with chronic kidney disease on dialysis therapy had significantly lower heart rate variability compared to control subjects (for SDNN and pNN50; 95.4±31.5 vs. 127.5±38.8; p=0.001 and 8.3±6.1 vs. 16±9; p

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

OBJEcTIVE: Patients with chronic kidney disease have a worse prognosis and carry a high risk of cardiovascular death and in particular sudden cardiac death. Reduced heart rate variability predicted an increased risk of mortality in non-dialysis chronic kidney disease and patients on chronic dialysis treatment. MATERIAL and METhODS: In this sectional study, we analysed heart rate variability of 28 patients with chronic kidney disease on dialysis therapy compared to a healthy control group. Heart rate variability was measured with 24-hour Holter electrocardiography. The results were compared to 30 healthy controls.RESULTS: The patients with chronic kidney disease on dialysis therapy had significantly lower heart rate variability compared to control subjects (for SDNN and pNN50; 95.4±31.5 vs. 127.5±38.8; p=0.001 and 8.3±6.1 vs. 16±9; p

Özet

AMAÇ: Kronik böbrek yetmezlikli hastalarda prognoz kötüdür ve kardiyovasküler olaylardan ölüm özellikle de ani ölüm açısından yüksek risk taşımaktadırlar. Azalmış kalp hızı değişkenliği diyaliz tedavisine henüz girmeyen ve diyaliz tedavisi altındaki kronik böbrek yetmezlikli hastalarda mortalitenin bir belirtecidir.GEREÇ ve YÖNTEMLER: Kesitsel çalışmada diyaliz tedavisi altındaki 28 hasta ile sağlıklı 30 kontrol grubu kalp hızı değişkenliği açısından karşılaştırıldı. Kalp hızı değişkenliği 24 saatlik holter elektrokardiyografi ile değerlendirildi.BULGULAR: Diyaliz tedavisi altındaki kronik böbrek yetmezlikli hastalarda kalp hızı değişkenliği kontrol grubuna göre anlamlı olarak düşük bulundu ( SDNN ve pNN50 değerleri sırasıyla, 95,4±31,5, 127,5±38,8; p=0,001 ve 8,3±6,1, 16±9; p

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Cite This Article

GÖZEL, N., DOĞUKAN, A., ULU, R., KEMEÇ, Z., DOĞDU, O., YİĞİT, İ. P., UĞUR, K. A. (2022). Effects of Dialysis Modality on Heart Rate Variability. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, Cilt: 26 - Sayı: 1, 93–97. https://ajindex.com/articles/636116

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References (15)

Brown JH, Hunt LP, Vites NP, Short CD, Gokal R, Mallick NP: Comparative mortality from cardiovascular disease in patients with chronic renal failure. Nephrol Dial Transplant 1994
1142 2. Agodoa LY, Eggers PW: Renal replacement therapy in the United States: Data from the United States Renal Data System. Am J Kidney Dis 1995
133 3. Patient Registration Committee, Japanese Society for Dialysis Therapy, Tokyo, Japan: An overview of regular dialysis treatment in Japan as of 31 December 2003. Ther Apher Dial 2005
458 4. Tomita J, Kimura G, Inoue T, Inenaga T, Sanai T, Kawano Y, Nakamura S, Baba S, Matsuoka H, Omae T: Role of systolic blood pressure in determining prognosis of hemodialyzed patients. Am J Kidney Dis 1995
412 5. Herzog CA: Sudden cardiac death and acute myocardial infarction in dialysis patients: Perspectives of a cardiologist. Semin Nephrol 2005
366 6. Herzog CA, Strief JW, Collins AJ, Gilbertson DT: Cause-specific mortality of dialysis patients after coronary revascularization: Why don't dialysis patients have better survival after coronary intervention? Nephrol Dial Transplant 2008
2633 7. Blumberg A, Häusermann M, Strub B, Jenzer HR: Cardiac arrhythmias in patients on maintenance hemodialysis. Nephron 1983
95 8. Thomson BJ, McAreavey D, Neilson JM, Winney RJ, Ewing DJ: Heart rate variability and cardiac arrhythmias in patients with chronic renal failure. Clin Auton Res 1991
133 9. Ewing DJ: Heart rate variability: An important new risk factor in patients following myocardial infarction. Clin Cardiol 1991
685 10. Ewing DJ, Neilson JM, Travis P: New method for assessing cardiac parasympathetic activity using 24 hour electrocardiograms. British Heart Journal 1984
402 11. Franczyk-Skóra B, Gluba-Brzózka A, Wranicz JK, Banach M, Olszewski R, Rysz J: Sudden cardiac death in CKD patients. Int Urol Nephrol 2015
982 12. Hathaway DK, Cashion AK, Milstead EJ, Winsett RP, Cowan PA, Wicks MN, Gaber AO: Autonomic dysregulation in patients awaiting kidney transplantation. Am J Kidney Dis 1998
229 13. Furuland H, Linde T, Englund A, Wikström B: Heart rate variability is decreased in chronic kidney disease but may improve with hemoglobin normalization. J Nephrol 2008
52 14. Tamura K, Tsuji H, Nishiue T, Yajima I, Higashi T, Iwasaka T: Determinants of heart rate variability in chronic hemodialysis patients. Am J Kidney Dis 1998
606 15. Nolan J1, Batin PD, Andrews R