الفهرس | Only 14 pages are availabe for public view |
Abstract Background: There is a high incidence of unexplained pulmonary hypertension (PH) in end-stage renal disease (ESRD) patients on chronic haemodialysis (HD) therapy via arterio-venous (A-V) access. This study evaluated the possibility that PHT in these patients is triggered or aggravated by chronic HD via surgical A-V access. Methods: 50 patients were examined for PH via echocardiogram. Pulmonary pressure ≥ 35 mmHg was reported as PH. Results: 19/50 patients suffered from PH. There was no effect for anatomic location of the dialysis vascular access, while a significant effect of cardiac output, pulmonary pressure, ejection fraction, and blood flow effect on the PH patients was shown. The laboratory parameters were not of significant effect on the differentiation of patients. Conclusion: There is a high prevalence of PH in ESRD patients undergoing long term HD via AV access. |