Hosny, M., Elsayed, H., Abo Seif, K., Abd Elhamid, H., Elmobdy, A. (2018). Effect of Endotoxemia on Cardiac Disease in High & Low Flux Hemodialysis Patients. The Egyptian Journal of Hospital Medicine, 61(1), 620-630. doi: 10.12816/0018765
Mona Hosny; Hesham Elsayed; Khaled Abo Seif; Howayda Abd Elhamid; Ashraf Elmobdy. "Effect of Endotoxemia on Cardiac Disease in High & Low Flux Hemodialysis Patients". The Egyptian Journal of Hospital Medicine, 61, 1, 2018, 620-630. doi: 10.12816/0018765
Hosny, M., Elsayed, H., Abo Seif, K., Abd Elhamid, H., Elmobdy, A. (2018). 'Effect of Endotoxemia on Cardiac Disease in High & Low Flux Hemodialysis Patients', The Egyptian Journal of Hospital Medicine, 61(1), pp. 620-630. doi: 10.12816/0018765
Hosny, M., Elsayed, H., Abo Seif, K., Abd Elhamid, H., Elmobdy, A. Effect of Endotoxemia on Cardiac Disease in High & Low Flux Hemodialysis Patients. The Egyptian Journal of Hospital Medicine, 2018; 61(1): 620-630. doi: 10.12816/0018765
Effect of Endotoxemia on Cardiac Disease in High & Low Flux Hemodialysis Patients
Internal Medicine Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Abstract
Background : endotoxemia can be the missing link between ESRD and cardiac disease , the first cause of death in hemodialysis patients . Patients and methods : patients were recruited from Ain Shams University Hospitals , hemodialysis units .120 patients on prevalent HD were enrolled in the study : 31 cardiac patients on high flux HD ( group A) , 29 cardiac patients on low flux HD (group B), 32 non – cardiac high flux HD ( group C), and 28 non – cardiac low flux HD ( group D) . For all patients we measured : Hb , URR , serum albumin , HsCRP, predialysis and postdialysisa endotoxin , endotoxin delta change, echocardiography , and ECG . Results : we found that cardiac high flux and low flux groups had higher endotoxemia levels than non – cardiac high flux and low flux groups .Conclusion : High flux hemodialysis patients had higher accumulated endotoxin than low flux hemodialysis patients, within either cardiac or non - cardiac groups .