TY  - JOUR
T1  - Comparison of pathological electrocardiographic changes between long-term kidney transplant recipients and hemodialysis patients
AU  - Akkaya, Süleyman
AU  - Çakmak, Ümit
PY  - 2024
DA  - September
Y2  - 2024
DO  - 10.32322/jhsm.1519695
JF  - Journal of Health Sciences and Medicine
JO  - J Health Sci Med /JHSM /jhsm
PB  - MediHealth Academy Yayıncılık
WT  - DergiPark
SN  - 2636-8579
SP  - 513
EP  - 517
VL  - 7
IS  - 5
LA  - en
AB  - 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
KW  - Kidney transplant recipient
KW  - hemodialysis
KW  - prolonged QT
CR  - Johansen KL, Chertow GM, Gilbertson DT, et al. US Renal Data System 2021 Annual Data Report: Epidemiology of Kidney Disease in the United States. Am J Kidney Dis. 2022;79(4 Suppl 1):A8-A12.
CR  - Ortiz A, Covic A, Fliser D, et al. Epidemiology, contributors to, and clinical trials of mortality risk in chronic kidney failure. Lancet. 2014;383(9931):1831-1843.
CR  - Genovesi S, Boriani G, Covic A, et al. EUDIAL working group of ERA-EDTA. Sudden cardiac death in dialysis patients: different causes and management strategies. Nephrol Dial Transplant. 2021;36(3):396-405.
CR  - Saran R, Robinson B, Abbott KC, et al. US Renal Data System 2018 Annual Data Report: Epidemiology of Kidney Disease in the United States. Am J Kidney Dis. 2019;73(3 Suppl 1):A7-A8.
CR  - Wilson GJ, Van K, O’Lone E, et al. Range and consistency of cardiovascular outcomes reported by clinical trials in kidney transplant recipients: a systematic review. Transplant Direct. 2022;9(1):e1398.
CR  - Di Iorio B, Bellasi A. QT interval in CKD and haemodialysis patients. Clin Kidney J. 2013;6(2):137-1343.
CR  - Goldberger AL, Goldberger ZD, Shvilkin A. Goldberger’s Clinical Electrocardiography a Simplified Approach 8th ed. Elsevier Saunders, 2013.
CR  - Salles GF, Xavier SS, Sousa AS, Hasslocher-Moreno A, Cardoso CR. T-wave axis deviation as an independent predictor of mortality in chronic Chagas’ disease. Am J Cardiol. 2004;93(9): 1136-1140.
CR  - Jankowski J, Floege J, Fliser D, Böhm M, Marx N. Cardiovascular disease in chronic kidney disease: pathophysiological insights and therapeutic options. Circulation. 2021;143(11):1157-1172.
CR  - Boriani G, Savelieva I, Dan GA, et al. Chronic kidney disease in patients with cardiac rhythm disturbances or implantable electrical devices: clinical significance and implications for decision making-a position paper of the European Heart Rhythm Association endorsed by the Heart Rhythm Society and the Asia Pacific Heart Rhythm Society. Europace. 2015;17(8):1169-1196.
CR  - Xu C, Tsihlis G, Chau K, Trinh K, Rogers NM, Julovi SM. Novel perspectives in chronic kidney disease-specific cardiovascular disease. Int J Mol Sci. 2024;25(5):2658.
CR  - Akcay M, Yıldırım U. Effect of dialysis and transplantation on myocardial repolarization parameters and P-wave dispersion in chronic kidney disease. J Arrhythm. 2021;37(2):348-355.
CR  - Genovesi S, Rossi E, Nava M, et al. A case series of chronic haemodialysis patients: mortality, sudden death, and QT interval. Europace. 2013;15(7):1025-1033.
CR  - Sherif KA, Abo-Salem E, Panikkath R, et al. Cardiac repolarization abnormalities among patients with various stages of chronic kidney disease. Clin Cardiol. 2014;37(7):417-421.
CR  - Oktavia D, Nasution SA, Setiati S. The clinical factors’prediction of increased intradialytic QT dispersion on the electrocardiograms of chronic hemodialysis patients. Saudi J Kidney Dis Transpl. 2013;24(2):274-280.
CR  - Hage FG, de Mattos AM, Khamash H, et al. QT prolongation is an independent predictor of mortality in end-stage renal disease. Clin Cardiol. 2010;33(6):361-366.
CR  - Beaubien ER, Pylypchuk GB, Akhtar J, et al. Value of corrected QT interval dispersion in identifying patients initiating dialysis at increased risk of total and cardiovascular mortality. Am J Kidney Dis. 2002;39(4):834-842.
CR  - Monfared A, Ghods AJ. Improvement of maximum corrected QT and corrected QT dispersion in electrocardiography after kidney transplantation. Iran J Kidney Dis. 2008;2(2):95-98.
CR  - Monfared A, Atrkar Roshan Z, Salari A, et al. QT intervals in patients receiving a renal transplant. Exp Clin Transplant. 2012; 10(2):105-109.
CR  - Durak MI, Algul Durak B. The comparison of QTc dispersion between renal transplant recipients and healthy individuals. Cureus. 2022;14(12):e32458.
CR  - Liu P, Wang L, Han D, Sun C, Xue X, Li G. Acquired long QT syndrome in chronic kidney disease patients. Ren Fail. 2020; 42(1):54-65.
CR  - Robison LB, Brady WJ, Robison RA, Charlton N. QT interval prolongation and the risk of malignant ventricular dysrhythmia and/or cardiac arrest: Systematic search and narrative review of risk related to the magnitude of QT interval length. Am J Emerg Med. 2021;49:40-47.
CR  - Scherer ML, Aspelund T, Sigurdsson S, et al. Abnormal T-wave axis is associated with coronary artery calcification in older adults. Scand Cardiovasc J. 2009;43(4):240-248.
UR  - https://doi.org/10.32322/jhsm.1519695
L1  - https://dergipark.org.tr/en/download/article-file/4085660
ER  -