Clinical and Echocardiographic Profile of Renal Transplant Recipients

Introduction: Cardiovascular diseases tend to be the major cause of mortality and morbidity in patients with kidney disease. The persistence of cardiac structural abnormalities after renal transplant and its effect on patient outcomes is largely unknown. This study intends to study the echocardiographic profile of renal transplant recipients. Methodology: This is a cross sectional observational study conducted in a tertiary care centre in south Indian Population. A Total of 400 Patients were selected after analyzing for appropriate inclusion and exclusion criteria. Comprehensive clinical and echocardiograhic evaluation was carried out in all patients and results were tabulated and analyzed using standard statistical methods. Results: Mean age of the study population was 36.23 8.86 years.76 % were males and 34 % were females. Mean BMI was 24.133.96 Kg/m2.82.66 % were hypertensive and the remaining were normotensive Mean Systolic blood pressure was 135.7014.95 mmHg. Mean Diastolic blood pressure was 86.299.00 mmHg. Mean Left ventricular mass index calculated by area length method was 119.3339.18 gram/m2.27.7 % of the participants had Left ventricular mass index of more than 110 gram/m2. . Mean LV ejection fraction was 66 6 %.53 % patients had diastolic dysfunction. Conclusion: Cardiac dysfunction, mainly Left Ventricular hypertrophy and diastolic dysfunction persists even after renal transplantation in majority of patients. Careful search and treatment of cardiac abnormalities shall be a part of standard management of renal transplant recipients.