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Atrial fibrillation, atrioventricular blocks and bundle branch blocks in hemodialysis patients

Ante Mandić1, Monika Tomić, Bozo Petrov

  • 1Health Center Siroki Brijeg, Siroki Brijeg, Bosnia and Herzegovina. ante.mandic@live.com

Collegium Antropologicum
|February 9, 2013
PubMed

Insights

This study found a high prevalence of atrial fibrillation and bundle branch blocks in hemodialysis patients, exceeding general population rates. Older age and higher uric acid levels were linked to atrial fibrillation.

Area of Science:

  • Nephrology
  • Cardiology
  • Clinical Electrophysiology

Background:

  • Atrial fibrillation is common in dialysis patients, but other conduction disturbances are less studied.
  • There is insufficient data on the prevalence of atrioventricular and intraventricular conduction disturbances in hemodialysis patients.

Purpose of the Study:

  • To determine the prevalence of atrial fibrillation, atrioventricular blocks, and bundle branch blocks in hemodialysis patients.
  • To identify clinical risk factors associated with these arrhythmias in this population.

Main Methods:

  • Electrocardiogram (ECG) was used to diagnose arrhythmias in 140 long-term hemodialysis patients.
  • Patients were grouped based on the presence or absence of atrial fibrillation/bundle branch blocks for variable comparison.

Main Results:

  • Atrial fibrillation was present in 7.9% of patients, associated with older age and higher uric acid.
  • Bundle branch blocks (various types) were found in 17.1% of patients.
  • First-degree atrioventricular block was present in 2.9%; higher-degree AV blocks were absent.

Conclusions:

  • The prevalence of atrial fibrillation and bundle branch blocks is notably high in hemodialysis patients compared to the general population.
  • Older age and elevated uric acid are significant risk factors for atrial fibrillation in this cohort.
  • Further investigation into cardiac conduction disturbances in dialysis patients is warranted.

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