O SHARAPOV1,2, B DAMINOV1,2, S ABDULLAEV2
1Republican Specialized Scientific Practical Medical Center Of Nephrology And Kidney Transplantation, Tashkent, Uzbekistan, 2Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan
Aim. To determine the structure and damage of the cardiovascular system in patients of the rural population with chronic kidney disease who are on hemodialysis.
Background. The most common cause of death for patients with CKD are complications due to cardiovascular disease.
Methods. We examined 30 patients (18 men and 12 women) living in rural areas(Sydarya region) with CKD V. The duration of HD was 17 (6–36) months. The average age of patients was 46.5 ± 4.2 years.
Results. Shortness of breath during physical exertion was noted by 27 (90%), of which 8 described complaints characteristic of CHF FCII, 14 with CHF FCIII, another 5 with CHF FCIV. Hypertension was observed in 25 (83.3%) patients. More than half of them (15) had grade 3 hypertension, 6 patients had grade 2, grade 1 was in 4 patients. Heartache was determined in 20 (66.6%) patients, 15 of them described typical angina attacks. Of these, 5 patients – FCII, 9 – FCIII, 1 patient – FCII. LVH was observed in all patients. BP parameters reliably correlate with LVH. Supraventricular extrasystole was observed in 1 patient, AV block 1 degree was observed in 2, and 3 had incomplete blockade of the left bundle branch block.
Conclusions. Based on the analysis of 30 CKD patients on HD, the frequency of chronic heart failure is 90%, arterial hypertension 83.3%, stable angina pectoris of various FC (II-IV) 66.6%, arrhythmias 20%. Thus, damage to the cardiovascular system as a result of prolonged hemodialysis leads to a worsened prognosis. This is especially pronounced in patients of the rural population and is due to the quality of hemodialysis, the provision of medicines, financial costs, etc.
I am a young nephrologist from Tashkent, Uzbekistan. I studied at the Tashkent Medical Academy. Now I am doing PhD work at the Republican Specialized Scientific and Practical Medical Center for Nephology and Kidney Transplantation. I also teach at the Tashkent Pediatric Medical Institute at the Department of Internal Medicine. In my scientific work, I study the problems of cardiovascular pathology in patients with chronic kidney disease who are on hemodialysis of urban and rural populations.
I have visited various international conferences many times. Several times I made a presentation at events within the country and abroad.