Cor Vasa 2023, 65(6):837-842 | DOI: 10.33678/cor.2023.083

Pulmonary Hemodynamics in Patients with Chronic Kidney Disease before Starting Renal Replacement Therapy

Fouad Bekhit^a, Yasser Baghdady^a, Noha Hassanin^a, Huessin Elfishawi^b, Karim Said^a

^a Department of Cardiovascular Medicine, Kasr Al Ainy, Faculty of Medicine, Cairo University, Cairo, Egypt

^b Department of Nephrology, Kasr Al Ainy, Faculty of Medicine, Cairo University, Cairo, Egypt

Background: Pulmonary hypertension (PH) is a highly prevalent condition in patients with chronic kidney disease and is associated with worse outcomes. Many studies described the prevalence of PH in patients with chronic renal disease on established renal replacement therapy (RRT) by non-invasive methods. However, there is a paucity of data on the peculiar hemodynamic characterization of patients with CKD prior to estab-lished RRT. Purpose: Our study aimed to describe the pulmonary hemodynamics in chronic kidney disease patients before starting established renal replacement therapy by invasive cardiac catheterization.

Methods: A total of ninety-five patients with CKD before starting established renal replacement therapy was assessed for probability of PH by transthoracic echocardiography, patients with an intermediate to high probability of PH by transthoracic echocardiography were offered invasive hemodynamic evaluation.

Keywords: Chronic kidney disease, Pulmonary hemodynamics, Pulmonary hypertension,

Received: July 6, 2023; Revised: October 9, 2023; Accepted: November 14, 2023; Prepublished online: June 2, 2012; Published: December 22, 2023  Show citation