Prevalence, Patterns, And Factors Associated with Arrhythmogenic Electrocardiographic Abnormalities Among Chronic Kidney Disease Outpatients at Bugando Medical Centre, Mwanza, Tanzania. (Record no. 29135)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03365nam a22003257a 4500 |
| 001 - CONTROL NUMBER | |
| control field | 20241011121114.0 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OCoLC |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20241011121810.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 241011b |||||||| |||| 00| 0 eng d |
| 028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
| Source | Wurzburg Road 35, Premises, Post Code: 33102 | |
| Source | P. O. Box 1464 Mwanza, Tanzania | |
| Source | Phone: (255) 28-298-3384 | |
| Source | Fax: (255) 28-298-3386 | |
| Source | Email: vc@bugando.ac.tz | |
| Source | Website: www.bugando.ac.tz |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| Language code of text/sound track or separate title | Kiswahili |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Relator term | CUHAS/MMED/6000531/T/21 |
| Fuller form of name | Alphonce Ngerecha |
| 245 ## - TITLE STATEMENT | |
| Title | Prevalence, Patterns, And Factors Associated with Arrhythmogenic Electrocardiographic Abnormalities Among Chronic Kidney Disease Outpatients at Bugando Medical Centre, Mwanza, Tanzania. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania | |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS-Bugando] | |
| Date of publication, distribution, etc. | 2024. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 78 Pages |
| Extent | Includes References |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | <br/><br/>Abstract:<br/><br/>Background: Cardiac diseases attributed to arrhythmic mechanisms are major causes of death among dialysis naïve and dialysis-experienced patients. A resting electrocardiogram (ECG) can detect some arrhythmogenic abnormalities associated with the risk of cardiovascular disease morbidity and mortality in chronic kidney disease (CKD) patients. This study aimed to determine the prevalence, patterns, and associated factors of arrhythmogenic electrocardiographic (ECG) abnormalities among CKD patients in Mwanza.<br/><br/>Methods: A hospital-based cross-sectional study was conducted among 162 CKD patients attending medical outpatient clinics in Bugando Medical Centre between November 2023 and March 2024. Demographic, clinical, laboratory, ECG, and echocardiographic findings were recorded and analyzed.<br/><br/>Results: 83 patients on regular hemodialysis and 79 patients with CKD stage 3–5 were included with a median age of 61. 103 (63.4%) were male and 107 (66%) of the study participants were asymptomatic during enrollment. ECG abnormalities were found in 134 (82.7%) of study participants with arrhythmogenic ECG abnormalities constituting 79.8% of all abnormalities. The most prevalent abnormalities were Prolonged QTc (46.9%), LVH (24.1%), Ischemic changes (23.5%), Atrioventricular blocks (AVB) (12.4%) and Intraventricular conduction defects (5.6%). Factors associated with arrhythmogenic ECG abnormalities included having comorbid conditions, reduced ejection fraction (EF<50%), and advanced CKD stage. In subgroup analysis, elevated BP during enrollment was associated with AVB, and the use of Calcium channel blockers and proton pump inhibitors was associated with Long QTc. Electrolyte abnormalities, dialysis status, and anemia had no statistically significant associations.<br/><br/>Conclusion: Arrhythmogenic ECG abnormalities are prevalent in the CKD population in our setting. We recommend regular ECG screening to detect arrhythmogenic changes in this population.<br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Internal Medicine |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Fuller form of name | Ladius Mubezi Rudovick |
| Fuller form of name | Eva Felician Mujuni |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Public note | A Research Report for A Dissertation Submitted in Partial Fulfillment of The Requirements for The Degree of Master of Medicine in Internal Medicine of The Catholic University of Health and Allied Sciences. |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | POSTGRADUATE DISSERTATIONS |
| Suppress in OPAC | |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
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| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 10/11/2024 | 20241011121114.0 | 10/11/2024 | 10/11/2024 | POSTGRADUATE DISSERTATIONS |