Correlation of Chronic Kidney Disease with Cardiomegaly Imaging in Posteroanterior Chest X-ray
Pradiba Amadita, Priatna, Hendri Priyadi

Medical Faculty. Jenderal Achmad Yani University

Abstract

Chronic kidney disease (CKD) is a health problem which prevalence is still high and one of the causes of cardiovascular complications. One of those cardiovascular complications is cardiomegaly. One way to identify cardiomegaly is by measuring the cardiothoracic ratio (CTR) in chest x-ray (CXR). The aim of this study is to see correlation, if any, of CKD and the cardiomegaly imaging in posteroanterior (PA) CXR. This was an observational analytic study with comparative cross-sectional design. The total sample was 60 people which was divided into 2 groups, 30 people with CKD and 30 people without CKD who were taken by consecutive sampling technic. The data were analyzed descriptively then followed by Chi-Square Test with 95% confidence interval. The results showed that 30 people (100%) were classified into stage 5 of CKD. Cardiomegaly was detected in 22 people (73,3%), the mean CTR was 60%, 22 people (73,3%) showed left ventricle enlargement, 20 people (66,7%) showed left atrium enlargement, and 7 people (23,3%) showed all chambers enlargement. There was a significant correlation between CKD and cardiomegaly (p=0,001 and PR=2,57).

Keywords: cardiomegaly, chest x-ray, chronic kidney disease

Topic: Clinical Practice in Pandemic Era