Abstract

Objective: To assess prevalence of pulmonary hypertension in end-stage renal disease patients on maintenance hemodialysis.

Study Design: Descriptive cross-sectional study

Place and Duration of Study: Department of Nephrology (Dialysis Unit), Liaquat University of Medical & Health Sciences Jamshoro from 1st July 2019 to 31st January 2020.

Methodology: One hundred and fifteen patients having age of 20 to 60 years of either gender with end stage renal disease on hemodialysis for more than 3 months were enrolled. Brief history, with special reference to duration of ESRD and hemodialysis, history of comorbid like type 2 diabetes mellitus, hypertension (on treatment verified by physician’s prescription) was taken while pulmonary artery pressure was measured on 2D colour echocardiography.

Results: The mean age was 50.16 ±13.76 years. There were 68 (59.1%) males and 47 (40.9%) females. Frequency of type 2 diabetes was 73 (63.5%) whereas hypertension was 71 (61.7%). Pulmonary hypertension was found in 74 (64.3%) patients. A significant association of pulmonary hypertension was observed with age (p-value <0.001) of the patients while other variables were found to be insignificant.

Conclusion: The prevalence of pulmonary hypertension was found to be higher in end-stage renal disease patients on maintenance hemodialysis.

Keywords: Pulmonary hypertension, End-stage renal disease, Maintenance hemodialysis