TO STUDY THE INCIDENCE OF GROUP V PULMONARY HYPERTENSION IN CKD V PATIENTS ON MAINTANANCE HEMODIALYSIS AT OUR CENTRE

Agarwal A; Pahwa N; Vohra R

Volume : VII, Issue : X, October - 2018

TO STUDY THE INCIDENCE OF GROUP V PULMONARY HYPERTENSION IN CKD V PATIENTS ON MAINTANANCE HEMODIALYSIS AT OUR CENTRE

Agarwal A, Pahwa N, Vohra R

Abstract :

Background:The incidence of chronic kidney disease in India is around 17.4%. Pulmonary hypertension is common in dialysis dependent chronic kidney disease patients, which in turn increase the risk of cardiovascular complications.

Aims and objectives: Evaluation of Group V pulmonary hypertension in chronic kidney disease stage V patients on maintenance hemodialysis.

Material and methods: The present observational,prospective study was conducted from April 2016 to October 2017 on 100 patients of chronic kidney disease stage V on maintenance hemodialysis. Pregnant woman, patients on PAH medication were excluded from the study. The patients with pulmonary hypertension came for follow–up after 3 months. For classification of chronic kidney disease – National Kidney Foundation Classification was used. For diagnosis of pulmonary hypertension, diagnostic criteria given by RHC was used.

Results:There were 36.84% females and 63.16% males, while in the pulmonary hypertension group, there were 20.83% females and 79.17% males, showing a male preponderance. The mean age comparison (47.8 ± 14.1 years vs. 49.0 ± 17.9 years in non–pulmonary and pulmonary hypertension) was found to be statistically not significant (p>0.05). The mean hemoglobin level comparison (9.43 ± 1.76 gm% vs. 9.11 ± 1.27 gm% in non–pulmonary and pulmonary hypertension) was found to be statistically not significant (p>0.05).The mean systolic blood pressure comparison (150.3 ± 18.3 mm Hg vs. 153.8 ± 18.1 mm Hg in non–pulmonary and pulmonary hypertension) was found to be statistically not significant (p>0.05).The mean diastolic blood pressure comparison (90.0 ± 10.3 mm Hg vs. 93.8 ± 11.3 mm Hg in non–pulmonary and pulmonary hypertension) was found to be statistically not significant (p>0.05).The mean body mass index comparison (21.57 ± 4.11 kg/m² vs. 20.65 ± 3.79 kg/m² in non–pulmonary and pulmonary hypertension) was found to be statistically not significant (p>0.05).The mean serum creatininecomparison (8.95 ± 3.55 mg/dL vs. 8.10 ± 2.31 in non–pulmonary and pulmonary hypertension) was found to be statistically not significant (p>0.05).

Conclusion: There was no statistically significant difference seen in the age, gender, hemoglobin level, serum creatinine level, body mass index, systolic and diastolic blood pressure between the non–pulmonary hypertension and pulmonary hypertension patients.