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Updated: Apr 28, 2026

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
Published on: October 28, 2020
Effect of intradialytic exercise on echocardiographic findings in hemodialysis patients
Ali Momeni, Alireza Nematolahi1, Mahsa Nasr
1Department of Cardiology, Shahrekord University of Medical Sciences, Shahrekord, Iran. drarn418@gmail.com.
Insights
Intradialytic exercise improved cardiac function in hemodialysis patients. This exercise regimen enhanced systolic and diastolic function, offering a potential benefit for patients undergoing dialysis.
Area of Science:
- Nephrology
- Cardiology
- Exercise Physiology
Background:
- Cardiovascular disease is a leading cause of mortality in hemodialysis patients.
- Intradialytic exercise presents a potential strategy to mitigate cardiovascular risks.
- This study investigates the impact of intradialytic exercise on cardiac parameters.
Purpose of the Study:
- To assess the relationship between intradialytic exercise and echocardiographic findings.
- To evaluate the effects of a structured exercise program during dialysis on cardiac function.
- To determine if intradialytic exercise can improve cardiac health markers in hemodialysis patients.
Main Methods:
- Forty hemodialysis patients were randomly assigned to either an exercise or control group.
- The exercise group engaged in a 30-minute program three times weekly for three months.
- Echocardiography and electrocardiography were performed before and after the intervention period.
Main Results:
- The exercise group showed a significant increase in left ventricular ejection fraction.
- Systolic pulmonary artery pressure and right ventricular size significantly decreased in the exercise group.
- Improvements in cardiac systolic and diastolic function were observed post-intervention.
Conclusions:
- Regular intradialytic exercise positively impacts cardiac systolic and diastolic function.
- Intradialytic exercise is a viable recommendation for hemodialysis patients, particularly those without pre-existing cardiac conditions.
- This intervention may contribute to reducing cardiovascular morbidity in the hemodialysis population.
Introduction:
Cardiovascular disease is the major cause of death in hemodialysis patients. Regular aerobic or intradialytic exercise may play a role in reducing cardiovascular mortality in these patients. The aim of this study was to evaluate the relationship between intradialytic exercise and echocardiographic findings.
Methods And Materials:
Forty patients were enrolled in the study from Shahrekord Hemodialysis Center. They were randomly assigned into the exercise and control groups. In the exercise group, the patients had a 30-minute exercise program per dialysis session, 3 times a week, for 3 months. Electrocardiography and echocardiography were done at the beginning of the study and 3 months later.
Results:
The mean age and body mass index of the patients were 43.2 +/- 10.5 years and 21.7 +/- 5.4 kg/m2, respectively. Left ventricular ejection fraction increased and systolic pulmonary artery pressure and right ventricular size decreased significantly after the study in the exercise group patients.
Conclusions:
Our results showed the improvement of cardiac systolic and diastolic function in patients who had physical exercise during dialysis sessions. Regular intradialysis exercise can be suggested for hemodialysis patients without cardiac disease.
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