000 03189cam a2200349 a 4500
003 EG-GiCUC
005 20250223032608.0
008 201005s2020 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.18.M.Sc.2020.Ma.E
100 0 _aMahmoud Elsaeed Mahmoud Elmosaad
245 1 0 _aElectrocardiographic predictors of arrhythmias in Egyptian chronic kidney disease patients /
_cMahmoud Elsaeed Mahmoud Elmosaad ; Supervised Mona Gamil Hassan , Khaled Marzouk Sadek Ostos , Hesham Yehia Abdelsalam
246 1 5 _aالتنبؤ باضطرابات نظم القلب الكھربى فى مرضى القصور الكلوى المزمن المصر{u٠٦أأ}{u٠٦أأ}ن باستخدام رسام القلب الكھربى
260 _aCairo :
_bMahmoud Elsaeed Mahmoud Elmosaad ,
_c2020
300 _a101 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Internal Medicine
520 _aBackground: The risks of sudden cardiac death and arrhythmia are increased in patients with chronic kidney disease (CKD) and in those on hemodialysis. Aim: Evaluation of the predictors of arrhythmias, such as p-wave dispersion (P-WD), QTc dispersion and Tp-e/QT ratio in patients with CKD stages 3{u2013}5 on no renal replacement therapy (RRT) and ESRD patients on regular hemodialysis. Patients and methodology: One-hundred and ninety patients (seventy-five patients with CKD stages 3{u2013}5 not on RRT, seventy-five ESRD patients on regular hemodialysis and 40 healthy controls were enrolled into the study. All the patients were subjected to : 1- Laboratory evaluation including: CBC, urea, creatinine, (eGFR was calculated by CKD-EPI equation), serum potassium, serum magnesium, serum calcium, serum phosphorus, PTH, serum iron and TIBC (transferrin satutation was calculated). 2- Echocardiograohy to assess LV EF and to exclude those with with structural heart disease. 3- Electrocardiogram performed by electrophysiological study machine including: QTc dispersion, P-WD and Tp-e interval measurement and Tp- e/QT ratio calculation. Results: The mean age of patients with ESRD and CKD were found to be significantly higher than controls (46.44±13.97, 49.16 ±13.19 and 37.23±15.07 {u2009}y, p{u2009}<0{u2009}.001, respectively). Compared to controls, the values of P-WD (47.97±17.68 and 46.32±22.3 vs. 34.7±13.36{u2009}msec, p=0.001), QTc dispersion (88.17±31.89 and 76.93±30.99 vs. 59.25±22.15{u2009}msec, p{u2009}<{u2009}0.001) and Tp-e/QTc ratio (0.64±0.3 and 0.68±0.28 vs. 0.47±0.24, p{u2009}={u2009}0.002) were found to be significantly higher in the ESRD and CKD groups respectively
530 _aIssued also as CD
653 4 _aP-wave dispersion
653 4 _aQTc dispersion
653 4 _aTp-e dispersion
700 0 _aHesham Yehia Abdelsalam ,
_eSupervisor
700 0 _aKhaled Marzouk Sadek Ostos ,
_eSupervisor
700 0 _aMona Gamil Hassan ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c78071
_d78071