Cardiology and Cardiovascular Research

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Echocardiographic Abnormalities in Hemodialysis Patients in Togo

Received: Aug. 29, 2023    Accepted: Sep. 18, 2023    Published: Oct. 08, 2023
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Abstract

Cardiovascular diseases (CVD) are a common complication among patients with end-stage chronic kidney disease (CKD). They represent the leading cause of mortality in hemodialysis patients. In a resource-limited setting, our objective was to assess echocardiographic aspects in chronic hemodialysis patients through a case series study conducted over a 24-month period, from January 2019 to December 2020. We included all patients who had been undergoing iterative hemodialysis sessions for at least 6 months and had undergone at least one cardiac ultrasound in the nephrology department. In total, 79 patients were enrolled, with an average age of 47.5 years and a sex ratio of 0.93. Hypertension (HTN) was observed in 84.8% of patients, and obesity was present in 39.2%. The main structural abnormalities included left ventricular hypertrophy (LVH) in 64.6% of cases and dilatation in 36.7% of cases. Left atrial (LA) and right atrial (RA) dilatations were observed in 36.7% and 15.2% of cases, respectively. Cardiac valve lesions observed were primarily calcifications. Echocardiography, a readily accessible non-invasive medical imaging technique, revealed a high prevalence of LVH and signs of inadequate dialysis in our population.

DOI 10.11648/j.ccr.20230704.11
Published in Cardiology and Cardiovascular Research ( Volume 7, Issue 4, December 2023 )
Page(s) 70-74
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Echocardiography, Hemodialysis, Chronic Kidney Disease, Togo

References
[1] Jankowski J, Floege J, Fliser D, Böhm M, Marx N. Cardiovascular Disease in Chronic Kidney Disease. Circulation 2021; 143: 1157–72. https://doi.org/10.1161/CIRCULATIONAHA.120.050686.
[2] Rostand SG, Brunzell JD, Cannon 3rd RO, Victor RG. Cardiovascular complications in renal failure. J Am Soc Nephrol 1991; 2: 1053–62.
[3] Li H, Wang S, Li H, Wang S. Cardiovascular Disease in Hemodialysis Patients. Hemodialysis, IntechOpen; 2013. https://doi.org/10.5772/53071.
[4] Mavrakanas TA, Charytan DM. Cardiovascular complications in chronic dialysis patients. Curr Opin Nephrol Hypertens 2016; 25: 536.
[5] Yattara H, Sidibé S, Diallo D, Koungoulba M, DjiguibaK K, Tangara M, et al. Prévalence des anomalies échocardiographiques chez les hémodialyses au chu Point G. Mali Méd En Ligne n. d.: 15–8.
[6] Fadwa H. Cardiovascular complications in hemodialysis patients. Nephrol. Dial. Transplant. vol. 35, oxford univ press great clarendon st, oxford ox2 6dp, england; 2020, p. 1623–1623.
[7] Moustapha CM, Tall LA, Maria F, Khodia F, Moustapha F, Fary KEH, et al. Evaluation des complications cardiaques chez les hémodialysés chroniques de Dakar. Pan Afr Med J 2016; 23: 43. https://doi.org/10.11604/pamj.2016.23.43.7227.
[8] Vigan J, Ahoui S, Hounsou D, Goudoté ACK, Vehounkpe Sacca J. Hypertrophie ventriculaire gauche chez les hémodialysés chroniques du CNHU-HKM de Cotonou. Néphrologie Thérapeutique 2018; 14: 29–34. https://doi.org/10.1016/j.nephro.2017.06.001.
[9] Barry IS, Diakite F, Beavogui M, Koivogui K, Samoura A, Camara A, et al. L’apport de l’échocardiographie doppler dans le suivi de l’hemodialyse chronique au Centre National d’Hemodialyse de Donka.: The contribution of Doppler echocardiography in the monitoring of chronic hemodialysis at Donka National Hemodialysis Center. J Rech Sci L’Université Lomé 2020; 22: 643–9.
[10] Djibril MA, Ouédraogo SM, Sabi A, Balaka A, Tientcheu MC, Tchamdja T, et al. Mortalite dans l’unite d’hemodialyse au Togo. 2014.
[11] Gargiulo R, Suhail F, Lerma EV. Cardiovascular disease and chronic kidney disease. Dis Mon 2015; 61: 403–13. https://doi.org/10.1016/j.disamonth.2015.07.005.
[12] Di Lullo L, Gorini A, Russo D, Santoboni A, Ronco C. Left ventricular hypertrophy in chronic kidney disease patients: from pathophysiology to treatment. Cardiorenal Med 2015; 5: 254–66.
[13] Amekoudi EYM, Sabi KA, Dolaama B, Noto-Kadou-Kaza B, Tona KG, Attisso EA, et al. Evaluation de la satisfaction des patients au centre d’hemodialyse du CHU SO. J Rech Sci L’Université Lomé 2018; 20: 327–33. https://doi.org/10.4314/jrsul.v20i2.
[14] Kochanek M, Said A, Lerma EV. Mineral metabolism in chronic kidney disease. Dis Mon 2015; 61: 425–33. https://doi.org/10.1016/j.disamonth.2015.08.003.
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  • APA Style

    Kossi Akomola Sabi, Eyram Makafui Yoan Yawo Amekoudi, Abalo Mario Bakai, Badomta Dolaama, Tcherou Tchaa, et al. (2023). Echocardiographic Abnormalities in Hemodialysis Patients in Togo. Cardiology and Cardiovascular Research, 7(4), 70-74. https://doi.org/10.11648/j.ccr.20230704.11

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    ACS Style

    Kossi Akomola Sabi; Eyram Makafui Yoan Yawo Amekoudi; Abalo Mario Bakai; Badomta Dolaama; Tcherou Tchaa, et al. Echocardiographic Abnormalities in Hemodialysis Patients in Togo. Cardiol. Cardiovasc. Res. 2023, 7(4), 70-74. doi: 10.11648/j.ccr.20230704.11

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    AMA Style

    Kossi Akomola Sabi, Eyram Makafui Yoan Yawo Amekoudi, Abalo Mario Bakai, Badomta Dolaama, Tcherou Tchaa, et al. Echocardiographic Abnormalities in Hemodialysis Patients in Togo. Cardiol Cardiovasc Res. 2023;7(4):70-74. doi: 10.11648/j.ccr.20230704.11

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  • @article{10.11648/j.ccr.20230704.11,
      author = {Kossi Akomola Sabi and Eyram Makafui Yoan Yawo Amekoudi and Abalo Mario Bakai and Badomta Dolaama and Tcherou Tchaa and Borgotia Atta and Yawovi Mawufemo Tsevi and Machihude Pio},
      title = {Echocardiographic Abnormalities in Hemodialysis Patients in Togo},
      journal = {Cardiology and Cardiovascular Research},
      volume = {7},
      number = {4},
      pages = {70-74},
      doi = {10.11648/j.ccr.20230704.11},
      url = {https://doi.org/10.11648/j.ccr.20230704.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ccr.20230704.11},
      abstract = {Cardiovascular diseases (CVD) are a common complication among patients with end-stage chronic kidney disease (CKD). They represent the leading cause of mortality in hemodialysis patients. In a resource-limited setting, our objective was to assess echocardiographic aspects in chronic hemodialysis patients through a case series study conducted over a 24-month period, from January 2019 to December 2020. We included all patients who had been undergoing iterative hemodialysis sessions for at least 6 months and had undergone at least one cardiac ultrasound in the nephrology department. In total, 79 patients were enrolled, with an average age of 47.5 years and a sex ratio of 0.93. Hypertension (HTN) was observed in 84.8% of patients, and obesity was present in 39.2%. The main structural abnormalities included left ventricular hypertrophy (LVH) in 64.6% of cases and dilatation in 36.7% of cases. Left atrial (LA) and right atrial (RA) dilatations were observed in 36.7% and 15.2% of cases, respectively. Cardiac valve lesions observed were primarily calcifications. Echocardiography, a readily accessible non-invasive medical imaging technique, revealed a high prevalence of LVH and signs of inadequate dialysis in our population.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Echocardiographic Abnormalities in Hemodialysis Patients in Togo
    AU  - Kossi Akomola Sabi
    AU  - Eyram Makafui Yoan Yawo Amekoudi
    AU  - Abalo Mario Bakai
    AU  - Badomta Dolaama
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    AU  - Yawovi Mawufemo Tsevi
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    DO  - 10.11648/j.ccr.20230704.11
    T2  - Cardiology and Cardiovascular Research
    JF  - Cardiology and Cardiovascular Research
    JO  - Cardiology and Cardiovascular Research
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    EP  - 74
    PB  - Science Publishing Group
    SN  - 2578-8914
    UR  - https://doi.org/10.11648/j.ccr.20230704.11
    AB  - Cardiovascular diseases (CVD) are a common complication among patients with end-stage chronic kidney disease (CKD). They represent the leading cause of mortality in hemodialysis patients. In a resource-limited setting, our objective was to assess echocardiographic aspects in chronic hemodialysis patients through a case series study conducted over a 24-month period, from January 2019 to December 2020. We included all patients who had been undergoing iterative hemodialysis sessions for at least 6 months and had undergone at least one cardiac ultrasound in the nephrology department. In total, 79 patients were enrolled, with an average age of 47.5 years and a sex ratio of 0.93. Hypertension (HTN) was observed in 84.8% of patients, and obesity was present in 39.2%. The main structural abnormalities included left ventricular hypertrophy (LVH) in 64.6% of cases and dilatation in 36.7% of cases. Left atrial (LA) and right atrial (RA) dilatations were observed in 36.7% and 15.2% of cases, respectively. Cardiac valve lesions observed were primarily calcifications. Echocardiography, a readily accessible non-invasive medical imaging technique, revealed a high prevalence of LVH and signs of inadequate dialysis in our population.
    VL  - 7
    IS  - 4
    ER  - 

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Author Information
  • Nephrology and Hemodialysis Department of CHU-Sylvanus Olympio, University of Lomé, Lomé, Togo

  • Nephrology Department of CHU-Kara, University of Kara, Kara, Togo

  • Cardiology Department of CHU-Kara, University of Kara, Kara, Togo

  • Nephrology and Hemodialysis Department of CHU-Sylvanus Olympio, University of Lomé, Lomé, Togo

  • Cardiology Department of CHU-Kara, University of Kara, Kara, Togo

  • Cardiology Department of CHU-Kara, University of Kara, Kara, Togo

  • Nephrology and Hemodialysis Department of CHU-Sylvanus Olympio, University of Lomé, Lomé, Togo

  • Cardiology Department of CHU-Kara, University of Kara, Kara, Togo

  • Section