Evaluation of Pulmonary Artery Pressure in End Stage Renal Disease in Babylon Province


Pulmonary hypertension (PHT) is a serious cardiac complication and highly prevalent in end-stage renal disease (ESRD).The aim of this study is to evaluation the PHT in ESRD and its relation with left and right side echocardiographic cardiac indices. Fifty patients with ESRD were included in the study. Echocardiography was used to evaluate systolic pulmonary artery pressure (sPAP),Tricuspid annular plane systolic excursion (TAPSE), cardiac output (CO),left ventricular mass(LVM). Cardiac index (CI) and left ventricular mass index(LVMI) were obtained by dividing CO and LVM onbody surface area (BSA).The results are : Percentage of PHT in ESRD is about 50% . Percentage of abnormal LVM , LVMI ,and TAPSE are: 76% (167-498 g), 78.9% (109-287g/m2),and 18.4% (1.1-1.8 cm) respectively. Correlation study between PHT and TAPSE showed statistically significant negative correlation (r = -0.38, p < 0.05). Correlation studies of PHT with LVM and LVMI were weak correlation and statically non-significant, but technically showed a positive correlation (r = 0.109, 0.094) respectively. The conclusion: pulmonary hypertension is extraordinary common Among hemodialysis patients and volume overload have played an important role in the mechanism of pulmonary hypertension in end stage renal disease .