Chronic Kidney Disease Clinical Trial
Official title:
Heart Rate Variability in Chronic Kidney Disease Patients
Use 24hr Holter ECG, ultrasound and cardiac fibrosis markers in the chronic kidney disease patients
24hr Holter examination is a non-invasive tool in detecting and diagnosing cardiac
arrhythmia. Moreover, Heart rate variability has been proven to been an important prognostic
factor in many cardiovascular diseases. The traditional linear analysis of heart rate
variability proved to predict clinical outcome in myocardial infarction patients. The more
delicate non-linear analysis in heart rate variability is one of the hot topics in the
world.
Despite some biochemical values like WBC counts, platelet counts, BUN, creatinine, lactate,
clinical vital parameters like blood pressure, heart rate, and oxygenation have been used to
predict clinical outcome in chronic renal disease(CKD) patients, the application is still
limited. It is an international interest to find a more safe and simple technique to
identify important prognostic factors in CKD patients. Our project aimed to recruit these
CKD patients from our hospital and conduct a cross-sectional study. Cardiac ultrasonography
and 24hrs Holter will be arranged. Linear and non-linear analysis of heart rate variability
will be performed and serum marker that influence prognosis like WBC count, platelet count,
lactate, BUN, creatinine, fibrosis marker and adiponectin will be checked. Short term and
long term outcome was followed and identify important prognostic factors to improve and
detect clinical prognosis.
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Observational Model: Cohort, Time Perspective: Cross-Sectional
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