60. Prevalence and Management of Hypertension in Regular Hemodialysis Patients at Sanjiwani Gianyar Hospital

Abstract

Background: Hypertension is a condition in which blood pressure is more than equal to 140/90 mmHg. Hypertension is often found in CKD patients undergoing regular hemodialysis (HD). The mechanism of hypertension in CKD is multifactorial, so it is difficult to control and is associated with cardiovascular complications. Methods: This study is a cross-sectional study to determine the prevalence and management of hypertension in regular hemodialysis patients at Sanjiwani Gianyar Hospital in 2021. Patients included in the study were over 18 years of age, who underwent regular hemodialysis twice a week, and were willing to participate in the study by signing an informed consent. Results: In this study, 108 regular HD patients consisted of 61.1% men with the mean age of 53.70 years, mean length of HD of 43.04 months. The mean of URR is 75.6% and KT/V is 1.73. Hypertension was found in 68.5%, in which 29.7% of them with comorbid DM. The mean systolic blood pressure was 130.37 ± 20.37 mmHg and the mean diastolic blood pressure was 79.17 ± 9.87 mmHg. Controlled hypertension <140/90 mmHg, was found in 51.4% of cases, where the majority of patients (65.8%) took 2 types of antihypertensive drugs, however 34.2% of patients used 3 types of antihypertensive drugs or more. Conclusion: The prevalence of hypertension in regular HD patients is high, however most of them can be controlled with 2 types of antihypertensive drugs. Reference: Unger T., Borghi C., Charchar F,. et al. International Society of Hypertension Global Hypertension Practice Guidelines 2020;75:1334-1357.