RT - Journal Article T1 - Electrocardiographic changes due to hyperkalemia in patients with acute and chronic renal failure undergoing chronic hemodialysis JF - RJMS YR - 2011 JO - RJMS VO - 18 IS - 82 UR - http://rjms.iums.ac.ir/article-1-1627-en.html SP - 1 EP - 7 K1 - Electrocardiographic changes K1 - Hyperkalemia K1 - Acute Renal Failure K1 - Chronic Renal Failure K1 - Chronic Hemodialysis AB -   Introduction : Hyperkalemia is a common disorder among renal failure patients and is considered as an important internal medicine emergency. On the other hand, considering the non-specific symptoms of hyperkalemia and its similarity to the underlying diseases’ symptoms, the occurrence of dangerous side effects is probable. One of the most important effects is on myocardium. Considering the immature mechanism of potassium conformity in confrontation with hyperkalemia in Acute Renal Failure (ARF) patients, the toxic effects of hyperkalemia occurs in lower potassium levels. The aim of this study is comparing the EKG changes due to hyperkalemia in patients with acute and chronic renal failure undergoing chronic hemodialysis.   Methods : The recent study was an analytic cross-sectional one performed on patients hospitalized in hemodialysis ward in Hashemi Nejad, Shohadaye-hafte- tir and Rasoul Akram hospitals, during 1382-1383. The serum electrolyte levels and EKG changes of 138 patients with End Stage Renal Disease (ESRD) who were under chronic hemodialysis and 91 patients with ARF, who were hospitalized in different wards, were measured and evaluated, using SPSS V.11 software and t and Chi Square tests   Results : Among 229 patients, 138 (60%) were ESRD patients who were under chronic hemodialysis and 91 (40%) had acute renal failure. The mean potassium level in ARF and ESRD patients were 5.66 ± 1.2 and 5.77 ± 0.91 mE/l which did not differ significantly (p=0.4). In EKG evaluations, the mean height of T wave, R wave and T/R ratio in ARF patients were 6.3 ± 2.4 mm, 5.7 ± 2.1 mm and 1.3 ± 0.9 mm respectively. These data in ESRD patients were 6 ± 2.2 mm, 5.6 ± 2.3 mm and 1.2 ± 0.78 mm. No significant difference was seen among two groups (P = 0.3, 0.8 and 0.7). In ARF and ESRD patients, there was a significant relationship between peaked tall T wave frequency and hyperkalemia severity (p LA eng UL http://rjms.iums.ac.ir/article-1-1627-en.html M3 ER -