Resumen

CAMPANA COBAS, Neri G. et al. Alteraciones cardiovasculares en pacientes en hemodiálisis. Rev Cubana Pediatr [online]. 2003, vol.75, n.4. ISSN 0034-7531.

In chronic kidney failure (CKF) and in dialysis patients there are multiple factors altering the heart function. The cardiovascular complications are the main cause of death among these patients. A cardiovascular study was conducted in 20 hemodialysis patients at the Nephrology Service of the Centro Habana Hospital. The study consisted in cardiovascular physical examination, electrocardiogram, telecardiogram, echocardiogram, hemogram and lipids count. The results showed a high presence of murmurs and arterial hypertension on the physical examination. 50 % presented left ventricular hypertrophia on the EKG that was confirmed by the echocardiogram. There were no significant differences in the relation between elevated triglycerides and the presence of cardiovascular alterations, but important differences were found between high colesterol and haemoglobin lower then 70 g/l. It was observed a high incidence of cardiovascular alterations among patients that had been on hemodialysis for more than a year.

Palabras clave : RENAL DIÁLYSIS [adverse exfects]; KIDNEY FAILURE CHRONIC [therapy]; KIDNEY FAILURE CHRONIC [complications]; HEART MURMURS; HYPERTENSION; HYPERTROPHY; LEFT VENTRICULAR; CHILD; ADOLESCENCE.