A Tertiary Care Hospital based Study on the Prevalence of Pulmonary Hypertention in Patients with Glomerular Filtration Rate less than 30 Ml /Min Per 1.73 Meter Square on Dialysis.

Simple item page
dc.contributor.authorRajangam, Tolstoyen_US
dc.contributor.authorGovindarajan, Jagadeeswaranen_US
dc.contributor.authorVigneshen_US
dc.contributor.authorAnsari, Mohammad Zeyaen_US
dc.date.accessioned2020-09-24T07:11:01Z
dc.date.available2020-09-24T07:11:01Z
dc.date.issued2019-10
dc.description.abstractIntroduction: Pulmonary artery hypertension (PAH) whichcan be primary or secondary, has been found to be associatedwith chronic kidney disease, especially end stage renal disease.Finding prevalence of pulmonary hypertension in early stagesof chronic kidney disease is important because it createsvery high burden of cardio vascular morbidity and mortality.In this study we have assessed various factors associatedwith prevalence of pulmonary hypertension in patients withglomerular filtration rate less than 30ml/min per 1.73 metersquare on dialysis.Material and methods: This is a one year, hospital based,prospective observational study of patients aged more than 18years with GFR less than 30 ml/min per 1.73-meter square ondialysis, who were found to have pulmonary hypertension onechocardiography. The prevalence of pulmonary hypertensionin this group of patients and the risk factors in CKD associatedwith it are calculated followed by a descriptive analysis andinterpretation of the data.Results: The various factors we analyzed and p value forassociation of pulmonary hypertension in CKD for thepercentage of male and female in our study group is 0.241, fordistribution of the pulmonary hypertension among differentage groups is 0.503, for the significance of diabetic mellitus is0.595,for systemic hypertension is 0.206, for arterial venousfistula is 0.780,for superimposed infections 0.166, for volumeoverload is 0.560, for anemia is 0.780, for left ventriculardiastolic dysfunction is 0.662, for creatinine clearance is0.717,for duration of dialysis is 0.000. With above results,only association with significant p-value (0.000) in our studypopulation with pulmonary hypertensions longer duration.Conclusion: Prevalence of pulmonary hypertension in ourstudy is 22%. The risk factors like age,sex, diabetes, systemichypertension, AVF, superimposed infection, volume overload,anaemia, LVDD has no influence on pulmonary hypertensionin our study, only strong association that we have in our studypopulation with pulmonary hypertension with CKD is longerduration of dialysis.en_US
dc.identifier.affiliationsProfessor, Department of Medicine, Psg Institute of Medical Science and Research, Coimbatoreen_US
dc.identifier.affiliationsAssociate Professor, Department of Medicine, Psg Institute of Medical Science And Research, Coimbatoreen_US
dc.identifier.affiliationsSenior Resident, Department of Medicine, Psg Institute of Medical Science and Research, Coimbatoreen_US
dc.identifier.affiliationsConsultant Medicine, Tata Main Hospital Jamshedpur, Jharkhand, Indiaen_US
dc.identifier.citationRajangam Tolstoy, Govindarajan Jagadeeswaran, Vignesh, Ansari Mohammad Zeya. A Tertiary Care Hospital based Study on the Prevalence of Pulmonary Hypertention in Patients with Glomerular Filtration Rate less than 30 Ml /Min Per 1.73 Meter Square on Dialysis. . International Journal of Contemporary Medical Research . 2019 Oct; 6(10): j1-j6en_US
dc.identifier.issn2393-915X
dc.identifier.issn2454-7379
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/202619
dc.languageenen_US
dc.publisherInternational Society for Contemporary Medical Researchen_US
dc.relation.issuenumber10en_US
dc.relation.volume6en_US
dc.source.urihttps://dx.doi.org/10.21276/ijcmr.2019.6.10.5en_US
dc.subjectPulmonary Hypertension (PH)en_US
dc.subjectCKDen_US
dc.titleA Tertiary Care Hospital based Study on the Prevalence of Pulmonary Hypertention in Patients with Glomerular Filtration Rate less than 30 Ml /Min Per 1.73 Meter Square on Dialysis.en_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ijcmr2019v6n10pdj1.pdf
Size:
289.73 KB
Format:
Adobe Portable Document Format
Download
Collections
International Journal of Contemporary Medical Research