comparison of tpe changing on ecg, in pre and post dialysis and post transplantation

نویسندگان

ali monfared urology research center, guilan university of medical sciences, rasht, ir iran; urology research center, guilan university of medical sciences, rasht, ir iran. tel: +98-1315525259

mohammad assadian rad cardiology research center, guilan university of medical sciences, rasht, ir iran

mohammadreza feizkhah urology research center, guilan university of medical sciences, rasht, ir iran

ehsan kazemnezhad urology research center, guilan university of medical sciences, rasht, ir iran

چکیده

results two weeks after transplantation, the mean tpe decreased to 0.052 ± 0.002, which was significant compared to pre-hd (p < 0.001) and post-hd (p = 0.019). the mean tpec was 0.059 ± 0.002, which, just in comparison to pre-hd, was significant (p = 0.005). in addition, the mean tpe/qt decreased to 0.143 ± 0.005, which was significant compared to pre-hd (p = 0.018). the mean qtd was 0.066 ± 0.004, which wasn’t significant compared to before or after dialysis. the mean qtc decreased to 0.386 ± 0.004, which was significant compared to post-hd (p = 0.0003). background high incidence of premature ventricular contractions (pvcs) and arrhythmia during and soon after dialysis have been demonstrated by holter monitoring. objectives in this study, the effects of dialysis and renal transplantation on tpe, tpec (corrected tpe), qtc (corrected qt), qtd (qt dispersion), and tpe/qt parameters as known factors in arrhythmogenicity, and also the correlation between electrolyte and arterial blood gas changing within these parameters will be assessed. patients and methods in a retrospective study, 42 renal transplant recipients were selected. under the supervision of an electrophysiologist, information related to tpe, tpec, tpe/qt, qtd, and qtc parameters before dialysis (pre-hd), after dialysis (post-hd), and two weeks after transplantation (rtx) were analyzed. electrolyte and arterial blood gas information were also recorded. bonferroni adjustment, repeated measures anova, generalized linear models, and generalized estimating equations were used for analysis. conclusions taking the role of tpe and tpe/qt in arrhythmia into account and amending it by a successful transplantation can be considered as a factor that decreases arrhythmia after renal transplantation compared to esrd patients.

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Comparison of Tpe Changing on ECG, in Pre and Post Dialysis and Post Transplantation

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nephro-urology monthly

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