JHSM
Journal of Health Sciences and Medicine

Journal of Health Sciences and Medicine (JHSM) is an unbiased, peer-reviewed, and open access international medical journal. The Journal publishes interesting clinical and experimental research conducted in all fields of medicine, interesting case reports, and clinical images, invited reviews, editorials, letters, comments, and related knowledge.

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Original Article
Comparison of pathological electrocardiographic changes between long-term kidney transplant recipients and hemodialysis patients
Abstract
Aims: We aimed to reveal electrocardiographic changes in kidney transplant recipients (KTRs) compared with hemodialysis patients.
Methods: We included 70 KTRs who had underwent a kidney transplantation for more than one year and 84 patients who had been on hemodialysis for more than one year. We recorded age, sex, body-mass index (BMI) (kg/m2), primary disease (makes chronic kidney disease) and duration of hemodialysis treatment. Standard measurements such as heart rate (HR), P wave, PR interval, P axis, QRS complex, QRS axis, T axis, QT interval and QTc interval were performed for all electrocardiography (ECG).
Results: KTRs were younger than the hemodialysis patients group (HPG) (31.5 vs. 54.5, p<0.001). The female gender was more common in the HPG (54.8% vs. 28.6%, p=0.001). Diabetes mellitus (DM) and hypertension (HT) were more common in the HPG (21.4% vs. 7.1% and 47.6% vs. 15.7% respectively, p<0.001). There was no statistically significant difference between KTRs and HPG in terms of heart rate, P axis, P-wave, QRS axis, QRS complex, RR interval, while T axis was higher in HPG (65o vs. 40.5o, p=0.001), PR interval was longer in HPG (152 msec vs 144 msec, p=0.020), QT interval was longer in HPG (385 msec vs 360 msec, p<0.001), QTc was longer in HPG (463 msec vs 415.5 msec, p<0.001).
Conclusion: In the long term after kidney transplantation, improvement of ECG pathologies such as prolonged QT and abnormal T axis seen in HPG may be the result of an improved uremic milieu and reduced inflammation in KTRs.

Keywords : Kidney transplant recipient, hemodialysis, prolonged QT

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Article available in :
Volume 7, Issue 5, 2024
Page : 513-517
https://doi.org/10.32322/jhsm.1519695
Article Information
Received : 20 Tem 2024
Accepted : 16 Ağu 2024
Published : 27 Eyl 2024
Corresponding Author :

Süleyman Akkaya: Department of Cardiology, Diyarbakır Gazi Yaşargil Training and Research Hospital, University of Health Sciences, Diyarbakır, Turkiye

[email protected]
Citation : Akkaya S, Çakmak Ü. Comparison of pathological electrocardiographic changes between long-term kidney transplant recipients and hemodialysis patients. J Health Sci Med. 2024;7(5):513-517.

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