Logo Annals of Transplantation Logo Annals of Transplantation Logo Annals of Transplantation

21 May 2009

Analysis of electrophysiological parameters acquired using continuous holter ecg monitoring in renal transplant patients

J Biernawska, M Zukowski, K Kotfis, M Kaczmarczyk, W Blaszczyk, M Zegan, R Bohatyrewicz, M Brykczynski

Ann Transplant 2009; 14(1): 56-56 :: ID: 880402

Abstract

Background: Metabolic disturbances during renal transplant can lead to electrophysiological and hemodynamic complications. Aims: To determine a relationship between electrophysiological parameters, metabolic homeostasis, length of cold ischemia time (CIT) and warm ischemia time (WIT).
Material/Methods: 54 renal transplant patients were included in a prospective study (mean age 45±12). Prior to procedure arterial blood gases' analysis was performed, digital holter ECG monitoring applied and continued for 12 hours. Second arterial blood gases' analysis was performed 30 minutes after graft's reperfusion. Electrophysiological parameters (rhythm disturbances, variation in the QT period, sinus rhythm variability) and metabolic parameters were analysed depending on the length of CIT and WIT.
Results: Mean CIT was 20 hours, WIT 22 minutes. Mean QTc period was initially 467ms, with its post-reperfusion lengthening to maximal values and gradual decrease during the first hour to initial values. Rapid QTc normalization was observed in WIT group (<17 minutes), dynamics of change were independent of CIT's length. Serious ventricular arrhythmia was observed in one patient. No significant changes were noticed when comparing metabolic compensation in the groups with CIT above and below 20 hours and groups with WIT below and above 22 minutes. Sinus rhythm variability was significantly disturbed in the group with WIT >16 minutes and was independent of the length of CIT.
Conclusions: 1. Prolongation of WIT results in repolarisation disturbances and presence of "fixed sinus rhythm". 2. Prolongation of CIT has no effect on lengthening of QTc or heart rate variability.

Keywords: Kidney Transplantation

Comments

In Press

06 May 2022 : Original article  

Phosphatidylethanol (PEth) for Monitoring Sobriety in Liver Transplant Candidates: Preliminary Results of D...

Ann Transplant In Press; DOI: 10.12659/AOT.936293  

27 Apr 2022 : Review article  

A Systematic Review of the Literature on Chronic Kidney Disease Following Liver Transplantation

Ann Transplant In Press; DOI: 10.12659/AOT.935170  

Most Viewed Current Articles

31 Dec 1969 : Original article  

Efficacy and Safety of Tacrolimus-Based Maintenance Regimens in De Novo Kidney Transplant Recipients: A Sys...

DOI :10.12659/AOT.933588

Ann Transplant 2021; 26:e933588

31 Dec 1969 : Review article  

Recurrence of Hepatocellular Carcinoma After Liver Transplantation: Risk Factors and Predictive Models

DOI :10.12659/AOT.934924

Ann Transplant 2022; 27:e934924

31 Dec 1969 : Review article  

Kidney Transplantation in the Times of COVID-19 – A Literature Review

DOI :10.12659/AOT.925755

Ann Transplant 2020; 25:e925755

31 Dec 1969 : Case report  

Combined Liver, Pancreas-Duodenum, and Kidney Transplantation for Patients with Hepatitis B Cirrhosis, Urem...

DOI :10.12659/AOT.935860

Ann Transplant 2022; 27:e935860

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358