WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Dr. Yasir Saad Jasim Alsudani, Dr. Mohammed Hannon Al-Sodani, Dr. Abbas Fadhil Shakir Alshalah, Dr. Jawad Ibrahim Rasheed Al Sheriff

ABSTRACT

Background: The term "chronic kidney disease" (CKD) refers to abnormalities in kidney structure or function that have been present for three months or longer and have an impact on health. Pulmonary hypertension (PH) is a heterogeneous disease involving pathogenic remodeling of the pulmonary vasculature, which increases pulmonary artery pressure and vascular resistance. Aim of the study: To evaluate the effect of fluid overload on pulmonary hypertension in patients on hemodialysis. Patients and methods: This is a cross-sectional study that was conducted at the dialysis center of Baghdad Teaching Hospital - Medical City in collaboration with the dialysis department during the period from the 1st of December, 2024 to the 31st of May, 2025. In this study; 100 patients were included. Results: In the present study 100 patients were included, the mean age of presentation was 49.0 ± 12.5 (20-69) years, 73 of them were males and 27 were females. They were evaluated according to history of patients, clinical examination, laboratory findings, BCM assessment and Echo study. Pulmonary hypertension was found in 50% of them. Conclusion: The conclusion of this study is that there is direct effect of fluid overload in patients with end-stage renal disease, which leads to many clinical manifestations. Therefore, we recommend fluid restriction, avoid nephrotoxic drugs, good control of the risk factors, adherence to the sessions of dialysis with regular follow-up and assessment.