الفهرس 
Chronic Kidney DiseaseOnly 14 pages are availabe for public view
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Abstract
Background: There is a close relationship between CKD and increased risk
for cardiovascular disease: major cardiac events actually represent almost
50% of the causes of death in CKD patients.
Aim of Work: to evaluate changes in cardiac structure and function among
pre-dialysis CKD patients without heart failure and to assess the possible
relationship between these changes and clinical and laboratory data.
Patients and methods: This cross sectional study included 60 clinically
stable adult patients with various stages of chronic kidney disease (CKD) not
yet undergoing dialysis. Patients were recruited from Nephrology Outpatient
Clinic of Kobery Alkoba Military Hospital after obtaining their informed
consent to participate in the study.
Results: There is increased risk of cardiovascular disease in patients with
various stages of CKD. Echocardiography is the best tool to study
cardiovascular structure and function . Echocardiography can detect early
systolic and diastolic dysfunction caused by kidney dysfunction . There is a
high prevalence of hypertension in our patients. Hypertension is associated
with increased cardiovascular risk in CKD. Proteinuria is important risk factor
for cardiac dysfunction. Hypertension and proteinuria must be adjustably
controlled to avoid cardiac complication.
Conclusion: There is a strong evidence that cardiac function and structure
get worsen as the kidney function decline as shown in our study.