DOI: 10.14704/NQ.2022.20.11.NQ66018

ASSESSMENT OF PULMONARY HYPERTENSION BY 2D ECHO AND DOPPLER IN PATIENT OF CHRONIC KIDNEY DISEASE.

Dr Shubham Toshniwal, Dr.Dinesh Pawar, Dr.Nalini Humaney

Abstract

BACKGROUND: Chronic kidney disease (CKD) is major public health concern that leads to renal failure,cardiovascular disease(CVD),and early mortality.One significant cardiovascular consequence of CKD is pulmonary hypertension (PH). It is small arterial disease involving pulmonary vasculature that raises pulmonary vascular resistance (PVR) and in turn pulmonary arterial pressure (PAP). METHODS: Single centre, observational cross-sectional done from 2019-2021 in department of General Medicine and sample size was 100 CKD patients. RESULTS: 48.99 ± 13.05 yeаrs Meаn аge оf the раtients. M:F rаtiо wаs 2:1.Оut Оf 100 cases hаving СKD, 49 were found to have pulmonary hypertension. Of 49 patients with PH, majority had moderate PH (44.89%) followed by mild (34.69%) and severe (20.41%) PH. Of 49 patients with PH, majority had Stage 5 CKD (52.56%) followed by Stage 4 (42.86%) and Stage 3 CKD (25%). CONCLUSION:The prevalence of PH was 49%.More Duration of CKD and HD, Decrease in haemoglobin levels are associated with increased prevalence of PH.HD with AV fistula was significantly associated with PH. Age,Sex and Stage of CKD was not significantly associated with severity of PH

Keywords

Chronic kidney disease ,Pulmonary hypertension,Echo,Hemodialysis,Cardiovascular Disease

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