Hypertension among patients with end stage renal disease on regular haemodialysis at Gezira hospital for renal diseases and surgery

ABSTRACT

The prevalence of hypertension in patients with chronic kidney disease, ftom ail causes, increases iiueavly as veuai fuuctiou deteriorates, reaching approximately 95% as patients approach end-stage renal disease. To determine the incidence of hypertension in patients on haemodialysis and to evaluate the control of blood pressure among patients with end stage renal disease. This was a prospective cross sectional study, conducted at Gezira Hospital for Renal Diseases and Surgery, Wad Medani, in January 2010. 133 patients with end stage renal disease were enrolled in this study ,blood pressure was measured pre, intra and post dialysis sessions. Drug therapy and the complications of hypertension were recorded. 89% of all patients were hypertensive, 94.07% out of them were on antihypertensive. Blood pressure was not adequately controlled in 62.16% of the patients. Paradoxical hypertension was found in 12.78%. 14.41% of the hypertensive group admit to have poor compliance for their antihypertensive medications. Calcium channel blockers were used in 42.94%, angiotensin converting enzyme inhibitors 36.72%, beta-blockers 15.26%, angiotensin II receptor in 2.26%, Alpha blocker in 2.26% and diuretics in 0.07% of the cases. 35.58% of the patients were suffering congestive heart failure and 2.26% suffered from cerebrovascular accident. The prevalence of hypertension in patients on regular haemodialysis mounting to 90%