Abstract

Introduction: Cardiovascular disease has become a major concern for the nephrologist as it is the leading cause of morbidity and mortality in patients with chronic kidney disease, and affects all stages of the disease, including the earliest stages of the disease. The goal of this work was to determine the frequency of cardiovascular complications during chronic kidney failure. Patients and methods: This was a six-month, descriptive cross-sectional study from March 01 to August 31, 2018. It covered all patients with chronic kidney disease hospitalized in the ward during the study period. Included were all chronic kidney failure patients with at least one cardiac and/or vascular complication diagnosed either on clinical examination, and/or paraclinical examination (Electrocardiogram or cardiac ultrasound, vessel echodoppler, scan). Results: During the study period, 84 out of 378 patients or 22.22% had at least one cardiovascular complication. Cardiovascular complications were hypertrophy of the left ventricle with 49/84 (44 at Electrocardiogram and 5 at cardiac echodoppler), valvulopathy with 33.33%, stroke with 50% of cases, obliterating arterial disease of the lower limbs 25%, hypokinetic dilated cardiomyopathy with 9/36 cases and pericarditis with 2/36. Conclusion: Cardiovascular complications affect both sexes and all ages. They were dominated by enlarged left ventricle, valvulopathy and dilated cardiomyopathy.

Highlights

  • Cardiovascular disease has become a major concern for the nephrologist as it is the leading cause of morbidity and mortality in patients with chronic kidney disease, and affects all stages of the disease, including the earliest stages of the disease

  • According to the World Health Organization (WHO), cardiovascular disease is the set of disorders affecting the heart and blood vessels [1], which is the leading cause of death in patients with chronic kidney disease (CKD) [2]

  • The frequency and type of cardiovascular complications in CKD patients varied from study to study and from country to country, and we considered appropriately based on our means of exploration, conducting this study

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Summary

Introduction

Cardiovascular disease has become a major concern for the nephrologist as it is the leading cause of morbidity and mortality in patients with chronic kidney disease, and affects all stages of the disease, including the earliest stages of the disease. Conclusion: Cardiovascular complications affect both sexes and all ages They were dominated by enlarged left ventricle, valvulopathy and dilated cardiomyopathy. Cardiovascular disease has become a major concern for the nephrologist as it is the leading cause of morbidity and mortality in patients with CKD, and affects all stages of the disease, including the earliest stages of the disease [4]. In France, a 2012 study showed that cardiovascular complications account for 26% of the causes of death of patients in CKD, the most frequently found were heart failure and coronary pathology [6]

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