Authors: Alida Páll Árpád Czifra Veronika Sebestyén Gergely Becs Csaba Kun József Balla György Paragh István Lőrincz Dénes Páll Tamás János Padra Anupam Agarwal Abolfazl Zarjou Zoltán Szabó
Publish Date: 2015/11/11
Volume: 48, Issue: 2, Pages: 271-277
Abstract
The incidence of atrial fibrillation is increased during hemodialysis HD however the effects of hemodiafiltration HDF on atrial arrhythmias have not been evaluated The prolongation of the P wave and P dispersion Pd can predict atrial arrhythmiasData from 30 patients receiving HDF over a period of 3 months were collected the same group of patients was then evaluated during treatment with conventional HD for at least another 3 months Electrolyte values were obtained and surface electrocardiograms ECG echocardiography and Holter ECGs were performedThe duration of the P wave and Pd increased significantly during HD The left atrial diameter decreased significantly only during HDF During HDF the left atrial cross diameter measured at the beginning of the session was positively correlated with the incidence of supraventricular premature beats p = 0011 r = 04556 The decrease in left atrial diameter during HDF was negatively correlated with the incidence of supraventricular premature beats p = 0016 r = −043 During HDF the changes in sodium and Pd were significantly positively correlated p 005 r = 0478 During HD the changes in ionized calcium levels and Pd were positively correlated p 005 r = 0377Our research project was sponsored by the TÁMOP422A11/1/KONV20120045 and TÁMOP42615120150001 projects These projects are implemented through the New Hungary Development Plan and cofinanced by the European Union and the European Social FundNone of the authors have a relationship with companies that may have a financial or nonfinancial interest in the information contained in the manuscript The authors have no other funding financial relationships or conflicts of interest to disclose
Keywords: