Ambulatory Blood Pressure Monitoring and Lung Ultrasound as New Predictors of Cardiovascular Morbidity in End Stage Renal Disease Patients
Amr Refay Albitar;
Abstract
Introduction:
Pulmonary congestion is highly prevalent and often asymptomatic among patients with ESRD treated with hemodialysis, our work aimed to find relation between ABPM, lung congestion as evident by lung ultrasound B- lines and coronary artery disease
Patients and methods:.
Our study included 50 Hemodialysis patients who were divided into 2 groups according to IDWG (group 1 more than 4 kg and group 2 less than 4 kg) each group was subjected to lung ultrasound (counting B-Lines), ABPM, ECG.
Results: .
The sleep systolic dip was higher among group of higher IDWG with statistically significant differing (P<0.05) between both studied groups as regard ABPM findings.
Statistically significant positive correlation between lung B-lines and BP readings (systolic and diastolic) in the group (IDWG less than 4 kg) r= 0.4 (p<0.05) while the correlation still preserved only with diastolic blood pressure with the group of higher IDWG.
Ischemic heart disease prevalence in a group (IDWG less than 4 kg) showed a strong positive correlation with the systolic BP with statistically significant difference (p <0.001)
The positive ECG for CAD of the two groups strongly correlate with the number of B-lines by lung US (mean + SD) 4.8 + 2.5 (p <0.05) for the IDWG less than 4 kg and (mean + SD) 4.6 + 2.9 with (p <0.001)
80 % the positive ECG for CAD were non dipper as evident by ABPM (p <0.001) And most of them were females (66.7 %)!!
Conclusion:
Early installation of anti hypertensive medications and judicious ultrafiltration for proper early control of hypertension
Ambulatory blood pressure monitoring is preferred as investigation of choice every 3 months in hemodialysis patient to unmask the extremes of blood pressure and select the non-dippers for more meticulous cardiac assessment and follow up.
Lung ultrasound as a bed side test for assessment of lung congestion and prediction of ischemic heart disease
Pulmonary congestion is highly prevalent and often asymptomatic among patients with ESRD treated with hemodialysis, our work aimed to find relation between ABPM, lung congestion as evident by lung ultrasound B- lines and coronary artery disease
Patients and methods:.
Our study included 50 Hemodialysis patients who were divided into 2 groups according to IDWG (group 1 more than 4 kg and group 2 less than 4 kg) each group was subjected to lung ultrasound (counting B-Lines), ABPM, ECG.
Results: .
The sleep systolic dip was higher among group of higher IDWG with statistically significant differing (P<0.05) between both studied groups as regard ABPM findings.
Statistically significant positive correlation between lung B-lines and BP readings (systolic and diastolic) in the group (IDWG less than 4 kg) r= 0.4 (p<0.05) while the correlation still preserved only with diastolic blood pressure with the group of higher IDWG.
Ischemic heart disease prevalence in a group (IDWG less than 4 kg) showed a strong positive correlation with the systolic BP with statistically significant difference (p <0.001)
The positive ECG for CAD of the two groups strongly correlate with the number of B-lines by lung US (mean + SD) 4.8 + 2.5 (p <0.05) for the IDWG less than 4 kg and (mean + SD) 4.6 + 2.9 with (p <0.001)
80 % the positive ECG for CAD were non dipper as evident by ABPM (p <0.001) And most of them were females (66.7 %)!!
Conclusion:
Early installation of anti hypertensive medications and judicious ultrafiltration for proper early control of hypertension
Ambulatory blood pressure monitoring is preferred as investigation of choice every 3 months in hemodialysis patient to unmask the extremes of blood pressure and select the non-dippers for more meticulous cardiac assessment and follow up.
Lung ultrasound as a bed side test for assessment of lung congestion and prediction of ischemic heart disease
Other data
| Title | Ambulatory Blood Pressure Monitoring and Lung Ultrasound as New Predictors of Cardiovascular Morbidity in End Stage Renal Disease Patients | Other Titles | قياس الضغط المتجول و سونار الرئتين للتنبأ بأمراض القلب فى مرضى الفشل الكلوى المزمن | Authors | Amr Refay Albitar | Keywords | ESRD, Haemodialysis, IDWG, ABPM, Lung Ultrasound, B-Lines | Issue Date | 2014 |
Attached Files
| File | Size | Format | |
|---|---|---|---|
| R10012.PDF | 1.06 MB | Adobe PDF | View/Open |
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