Abstract
Background: Pulmonary hypertension is an independent predictor of mortality. It is a recognized condition in patients with chronic kidney disease. Objective: To find out the frequency of pulmonary hypertension in CKD stage 5 patients and relation of PASP with biochemical parameters of CKD. Methods: This cross-sectional study was conducted in the Department of Nephrology at Bangabandhu Sheikh Mujib Medical University, Dhaka from July 2014 to June 2016 over a period of 2(two) years. One hundred twenty patients with CKD stage 5 on dialysis (HD and CAPD) and pre dialysis for more than 3 months were selected for this study. Result: Pulmonary hypertension was found in 56.6% maintenance HD patients, in 13.3% CAPD patients and in 20.6% pre dialysis patients. A significant correlation of pulmonary arterial systolic pressure with age, duration of dialysis, serum phosphate, and serum iPTH levels was found. Conclusion: Frequency of pulmonary hypertension was highest in hemodialysis group (56.6%). Routine screening and early detection is important in order to avoid the serious consequences of the disease.
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