Association of Cardiovascular Complications in Children Undergoing Hemodialysis at a Tertiary Care Hospital

Abstract

Background:Chronic kidney disease is a global health problem which is related with significant disease morbidity. Hemodialysis is a life saving modality but it is also associated with certain cardiovascular complications which do compromise quality of life of these patients. This study was conducted to document the frequency of such complications in patients on hemodialysis. Objective: To Determine the Frequency of Acute Cardiovascular Complications during Hemodialysis. Material and Methods: The patients going for dialysis were completely assessed clinically by the doctor before the start of procedure. Continuous monitoring of BP, Pulse and ECG was done during the whole procedure using cardiac monitor, readings were recorded every 30 minutes. Results: Mean age of our study cases was 11.31 ± 2.63 years. Of these 231 study cases, 154 (66.7%) were boys while 77 (33.3%) were girls. Mean duration of the disease was 16.78 ± 9. 42 months. Mean duration on hemodialysis was 11.91 ± 7.06 months. Of these 231 study cases, 127 (54.97%) were from rural areas and 104 (45.03%) were from urban areas. Arrhythmia was seen in (3.9%), intradialytic hypotension in 39 (16.9%) and intradialytic hypertension in 48 (20.8%) of our study cases. Conclusion: Intradialytic Hypertension and hypotension are the major complications of the hemodialysis in our study. Cardiovascular complications were significantly associated with disease duration and duration on hemodialysis. Early diagnosis and proper monitoring of these patients can help reduce disease morbidity and improve quality of life of these patients.

Keywords: acute complications, hemodialysis, arrhythmia.