DISSERTATION TOPIC
THESIS TITLE:
THERAPEUTIC OUTCOMES IN PATIENTS WITH CARDIOVASCULAR DISEASE IN CHRONIC KIDNEY DISEASE.
PROBLEM STATEMENT:
CKD is common in patients with heart failure, associated with high mortality and morbidity, which is even higher in people undergoing long-term dialysis. Despite increasing use of evidence-based drug and device therapy in patients with heart failure in the general population, patients with CKD have not benefitted
AIM:
MANAGING CARDIOVASCULAR DISEASE IN PATIENTS WITH CHRONIC KIDNEY DISEASE.
OBJECTIVES:
1. To study the cardiac changes and complications in patients with chronic kidney disease.
2. To improve outcomes in patients having heart failure with CKD.
3. Understanding development LV dysfunction.
PATIENTS AND METHODS:
PLACE OF STUDY: Kamineni Institute of Medical Sciences and Hospital, Narketpally.
STUDY PERIOD: November 2022 to October 2024.
STUDY DESIGN: Prospective study.
SAMPLE SIZE : 60.
INCLUSION CRITERIA:
The following criteria were used in the selection of cases: Patients-
1. Who were known chronic kidney disease Patients.
2. Who were symptomatic for 3 months and more.
3. Serum creatinine more than 3 mg%.
4. Patients with bilateral contracted kidneys on USG Abdomen with poor corticomedullary differentitation and type 2 or 3 renal parenchymal changes.
EXCLUSION CRITERIA:
1. Patients who were known valvular heart disease, coronary artery disease.
2. Patients below 18 years of age.
3. Patients not capable of giving consent (mentally ill patients).
4. Patients not willing to participate in the study. And lost to follow-up.
PROFORMA:
IP NO:
NAME:
AGE:
SEX:
PRESENTING SYMPTOMS:
PAST HISTORY:
EXAMINATION:
Pallor JVP
Pedal edema
CVS: RS:
Abdomen:
CNS:
PR:
RR:
BP:
TEMP:
BODY WEIGHT:
Mean BP:
INVESTIGATIONS:
1) Complete hemogram:
2) Urea:
3) Sr. Creatinine:
4) eGFR:
5) Blood sugar:
6) Urine:
7) Sr. proteins:
8) Sr. uric acid:
9) Liver function tests:
10) Sr. calcium:
11) Sr. Phosphorus:
12) Sr. Electrolytes:
13) USG abdomen:
14) ECHOCARDIOGRAPHY:
CHAMBERS:
SYSTOLIC FUNCTION:
DIASTOLIC FUNCTION:
PERICARDIUM:
VALVES:
FINAL IMPRESSION OF ECHOCARDIOGRAPHY:
PATIENT INFORMATION SHEET
English:
https://drive.google.com/file/d/12LLDgFBVfnTxDdNIv5K715uSyLYPUEgrY/view?usp=drivesdk
Telugu:
https://drive.google.com/file/d/13Df9wCu9zhjECpPxcHEULSAphv6-tDHl/view?usp=drivesdk
THESIS CASES:
31. http://drkranthimenmula.blogspot.com/2024/07/code-cl.html
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• Nguyen M, Rumjaun S, Lowe-Jones R, Ster IC, Rosano G, Anderson L, Banerjee D. Management and outcomes of heart failure patients with CKD: experience from an inter-disciplinary clinic. ESC Heart Fail. 2020 Oct;7(5):3225-3230. doi: 10.1002/ehf2.12796. Epub 2020 Jul 11. PMID: 32652822; PMCID: PMC7524254.
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