Study of Intradialytic Hypertension: A Single Centre Analysis
In India around 20,000 people are dependent upon hemodialysis.
The greatest burden of morbidity and mortality for hemodialysis
patients are cardiovascular diseases including
fluctuations in blood pressure, as CVDs account for approximately 50% of all deaths.
Intradialytic hypertension is one such complication responsible for increased morbidity and
mortality in chronic kidney disease patients undergoing hemodialysis.
In India, there is limited data available in the literature for the incidence of IDH in
CKD patients on hemodialysis.
In this observational study, we evaluated the incidence of IDH in Indian CKD patients
undergoing hemodialysis. We found a higher incidence of IDH in our cohort than in Western studies.
These patients were further evaluated for the association of IDH with contributory
factors and patient outcomes after one year of follow-up.
In India around 20,000 people are dependent upon hemodialysis.
The greatest burden of morbidity and mortality for hemodialysis
patients are cardiovascular diseases, which accounts for approximately 50% of all deaths.
Fluctuations in blood pressure is one of the most common complication that occurs
in patients taking hemodialysis. A recent study from South Africa showed that intradialytic
hypertension may affect as many as 28% of the dialysis population.
The only Indian study, reported from south India in 2016,
looked at the incidence of IDH on the Indian hemodialysis population
but did not study the factors responsible for IDH and the impact of IDH on mortality.
The aim of this study was to evaluate the incidence of IDH, to study factors
responsible for IDH and effect of IDH on mortality in patients attending regular
dialysis sessions at a single dialysis unit.
Nephrol Open J. 2017; SE(2): S1-S6. doi: 10.17140/NPOJ-SE-2-101
