الفهرس 
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Abstract
Thus, the aim was to perform the first generalizable comprehensive comparison of prevelance HF classes; HFpEF, HFmrEF, and HFrEF with regard to renal function deterioration .
*HFpEF is highly prevalent in CKD patients on medical treatment and ESRD.
*Most of CKD and ESRD patients have diastolic dysfunction in different degrees . in our study all of CKD patients on medical theraby with various degrees (Grade 1 :55 ( 45.5%) &Grade 2 : 43 (35.5%)& Grade 3 -4 :22 (19%)) and 95% of ESRD patients have DD ;( (Grade 1 :40 ( 33.3%) &Grade 2 : 51 (42.5%)& Grade 3 -4 :21 (17.5%))
*There is strong negative correlation between e GFR and LVMI in CKD patients
*There is strong positive correlation between LVMI and 10 year CVD risk in CKD patients
*Increased LA diameter was independently associated with renal function decline.
*Dyslipidemia, which includes high triglyceride (TG) levels and low high-density