Muhammad Salman Rehman, Tahir Bashir, Nauman Anjum.
Frequency Of Persistent Intradialytic Hypertension In Patients Undergoing Hemodialysis.
Esculapio J Services Inst Med Sci Jan ;13(2):103-5.

Objective: To determine the frequency of persistent intradialytic hypertension in Pakistani end stage renal disease patients on hemodialysis. Methods: A total of 150 patients undergoing hemodialysis were included in the study after informed consent. After enrollment, pre- and post-dialysis systolic blood pressurewas measured using standard techniques. Persistent intradialytic hypertension was labeled. All data was collected on predesigned proforma. Anti-hypertensive medicines being used and duration of dialysis in months were used as effect modifier. Results: From one hundred and fifty patients the minimum age was found as 18 years and maximum age was found as 60 years with mean + standard deviation as 47.04 +10.64 years. There were 56 % male patients and 44% patients were female. Persistent intradialytic hypertension was found in 12% patients. 84% patients used anti-hypertensive. By using chi-square test, there was no significant association between age and presence of persistent intradialytic hypertension with p-value = 0.546. Significant association was not found between gender and presence of persistent intradialytic hypertension with p-value = 0.139. Usage of Anti-hypertensive was significantly associated with presence of persistent intradialytic hypertension with p-value = 0.048. Duration of dialysis was not significantly associated with presence of persistent intradialytic hypertension with p-value = 0.706. Conclusion: The frequency of persistent intradialytic hypertension was found in 12% end stage renal disease patients on hemodialysis. Effect modifiers were not significantly associated with presence of persistent intradialytic hypertension except usage of Anti-hypertensive.

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