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.
Abstract

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