Prevalence of Intradialytic Hypertension in Patients with End-Stage Renal Disease on Maintenance Hemodialysis    : Prevalence of Intradialytic Hypertension in Patients

Maimoona Tariq; Shahid Anwar; Hafiz Tahir Usman; Salman Yaqub; Sajjad Ahmad

doi:10.54393/pjhs.v6i8.3297

Authors

Maimoona Tariq Department of Nephrology, Sir Gangaram Hospital, Lahore, Pakistan
Shahid Anwar Department of Nephrology, Sir Gangaram Hospital, Lahore, Pakistan
Hafiz Tahir Usman Department of Nephrology, Sir Gangaram Hospital, Lahore, Pakistan
Salman Yaqub Department of Nephrology, Sir Gangaram Hospital, Lahore, Pakistan
Sajjad Ahmad Department of Nephrology, Sir Gangaram Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i8.3297

Keywords:

Intradialytic Hypertension, Hemodialysis, End Stage Renal Disease

Abstract

Intradialytic hypertension (IDH) is emerging as a relevant and recurrent problem in end-stage renal disease patients. This can result in escalated morbidity and even fatality in the event of this not being diagnosed promptly. Objectives: To determine the prevalence of intradialytic hypertension in end-stage renal disease (ESRD) patients on maintenance hemodialysis. Methods: This descriptive cross-sectional study included adult patients with end-stage renal disease (ESRD) on maintenance hemodialysis. Data on demographic and co-morbid conditions were noted. Six dialysis sessions were observed for each patient. Presence of >10 mmHg increases in systolic blood pressure between before and after the start of four out of six dialysis sessions was used to label IDH. Descriptive analysis was run, and the factors associated with IDH were compared through a chi-square test at 5% significance level. Results: The participants had a mean age of 48.03 ± 13.2 years, with females comprising 52.8% (n=76) of the total 144 patients. Hypertension emerged as the most frequent comorbidity, affecting 77.8% (n=112), while intradialytic hypertension (IDH) was identified in 19.4% (n=28) of cases. IDH showed a significant association with diabetes (30.9% vs. 12.4%, p=0.006) and was exclusively present in hypertensive patients (p=0.001). Conclusion: IDH is a relatively common occurrence and warrants careful monitoring, particularly among individuals with hypertension and diabetes mellitus.

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