CARDIAC REMODELING AND ASSOCIATED FACTORS IN PATIENTS WHO ARE TREATED BY PROGRAM HEMODIALYSIS
Aim: to evaluate the characteristics of cardiac remodeling, hypertension, cardiac calcification in patients who are treated with hemodialysis, and assess interrelations between the studied phenomena and other associating factors. Materials and methods: 53 hemodialysis patients (study group) and 23 patients with CKD III (control group) were examined. Ambulatory blood pressure monitoring, echocardiography, determination of total serum calcium and phosphate. Results. The predominant type of cardiac remodeling was concentric LVH - 56,6% (n = 30). «Non-dipper» type of night-time reduction of blood pressure was prevailing. We found a positive correlation between the average systolic BP and left ventricular mass (r = 0,32, p = 0,03). The prevalence of cardiac calcifications in the study group was 58,5% (n = 31). We found a positive correlation between the degree of cardiac calcification, on the one hand, and the age of patients (r = 0,54, p <0,001), and also between the severity of cardiac calcification and serum phosphate levels (r = 0,3, p = 0,03). Conclusions: the average SBP is associated with left ventricular mass, in addition, cardiac calcification was associated with the age of dialysis patients and the level of serum phosphate.