Level of high sensitivity troponin I and its correlation with hemodialysis vintage – A pilot study

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DOI:

https://doi.org/10.3126/ajms.v15i10.68119

Keywords:

High-sensitivity cardiac Troponin I; Hemodialysis; Cardiac disease

Abstract

Background: Renal replacement therapy (RRT) is advised in end-stage renal disease, the last stage of chronic kidney disease (CKD). RRT includes maintenance hemodialysis (MHD)/peritoneal dialysis/renal transplant. The requirement for MHD is annually escalating in India. It is important to note that over 80% of patients receiving MHD have at least one cardiac disease at the time of dialysis initiation, such as ischemic heart disease, congestive cardiac failure, and arrhythmias.

Aims and Objectives: The present study aimed to study high-sensitivity cardiac troponin I (hs-cTnI) serum level as a marker of cardiovascular injury in patients receiving MHD. It was an attempt to envisage a correlation between serum hs-cTnI and hemodialysis (HD) vintage (duration since initiation of dialysis till date).

Materials and Methods: We enrolled 40 patients. Group 1 included those who had received MHD for ≤24 months, and Group 2 included those who had received MHD for more than 24 months.

Results: We found no significant difference between the two groups’ clinical characteristics and demographic features. The pre-and post-HD serum hs-cTnI values of all patients were recorded. The serum hs-cTnI levels were found to be elevated in 34 out of 40 patients’ post-dialysis, and the result was statistically significant (P=0.0001).

Conclusion: The present study has encouraging results, with values of hs-cTnI raised in post-dialysis samples; however, the levels did not correlate with HD vintage. Further studies with larger sample sizes and longer follow-ups would provide more detailed information on hs-cTnI’s role as a marker for HD-induced cardiac damage.

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Published

2024-10-01

How to Cite

Saloni Malik, Manisha Naithani, Anissa Atif Mirza, Sharon Kandari, Suman KM, & Gaurav Shekhar Sharma. (2024). Level of high sensitivity troponin I and its correlation with hemodialysis vintage – A pilot study. Asian Journal of Medical Sciences, 15(10), 40–44. https://doi.org/10.3126/ajms.v15i10.68119

Issue

Vol. 15 No. 10 (2024)

Section

Original Articles

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