Association between Hypertension and Atrial Fibrillation in Patients on Hemodialysis
This study aimed to evaluate the prevalence and the association between hypertension (HTN) and atrial fibrillation (AF) in hemodialysis (HD) patients. A chart review-based, cross-sectional study was conducted on HD patients who had received HD for at least 6 months. Demographic, hemodynamic, and lab...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Saudi Journal of Kidney Diseases and Transplantation |
| Online Access: | http://www.sjkdt.org/article.asp?issn=1319-2442;year=2023;volume=34;issue=4;spage=313;epage=322;aulast=Almuhana |
| _version_ | 1797246015717244928 |
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| author | Alanoud Husain Almuhana Lolo Ibrahim Alkhwaiter Abeer Alghamdi Alreem Alsaleem Arwa Almehrij Mubarak Abdalla Abdulla Ahmed Al Sayyari |
| author_facet | Alanoud Husain Almuhana Lolo Ibrahim Alkhwaiter Abeer Alghamdi Alreem Alsaleem Arwa Almehrij Mubarak Abdalla Abdulla Ahmed Al Sayyari |
| author_sort | Alanoud Husain Almuhana |
| collection | DOAJ |
| description | This study aimed to evaluate the prevalence and the association between hypertension (HTN) and atrial fibrillation (AF) in hemodialysis (HD) patients. A chart review-based, cross-sectional study was conducted on HD patients who had received HD for at least 6 months. Demographic, hemodynamic, and laboratory data were retrieved from the BestCare system, and the main outcomes were blood pressure before and after dialysis, and the presence of AF. Our sample consisted of 304 HD patients; 162 (53%) were male, and the mean age was 63 ± 18 years. Sixty-eight (20%) had AF, of whom 44 (64.7%) were male, with a mean age of 73 ± 12 years. The risk of AF increased by 0.4 [odds ratio: 1.04; 95% confidence interval (CI): 1.02-1.06; P <0.001] for every year of age. Almost the entire sample (66.45%, n = 202) was hypertensive, and those patients had a mean age of 64 ± 17 years, and nearly one-third had a body mass index in the obese category (28.7%, n = 58). In addition, with every increase in the Charlson comorbidity index score by two points, there was a 40% increased risk of developing HTN (OR: 2.47; 95% CI: 1.17–5.18; P = 0.017). The risk factors for the development of HTN and AF in HD patients were found to be increasing age for AF and female sex for HTN. The presence of HTN and diabetes increased the risk of developing AF seven-fold after HD. |
| first_indexed | 2024-04-24T19:36:05Z |
| format | Article |
| id | doaj.art-1fa810ebbe174977a7b75f4a6b7bf684 |
| institution | Directory Open Access Journal |
| issn | 1319-2442 |
| language | English |
| last_indexed | 2024-04-24T19:36:05Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Kidney Diseases and Transplantation |
| spelling | doaj.art-1fa810ebbe174977a7b75f4a6b7bf6842024-03-25T13:05:50ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422023-01-0134431332210.4103/1319-2442.395447Association between Hypertension and Atrial Fibrillation in Patients on HemodialysisAlanoud Husain AlmuhanaLolo Ibrahim AlkhwaiterAbeer AlghamdiAlreem AlsaleemArwa AlmehrijMubarak AbdallaAbdulla Ahmed Al SayyariThis study aimed to evaluate the prevalence and the association between hypertension (HTN) and atrial fibrillation (AF) in hemodialysis (HD) patients. A chart review-based, cross-sectional study was conducted on HD patients who had received HD for at least 6 months. Demographic, hemodynamic, and laboratory data were retrieved from the BestCare system, and the main outcomes were blood pressure before and after dialysis, and the presence of AF. Our sample consisted of 304 HD patients; 162 (53%) were male, and the mean age was 63 ± 18 years. Sixty-eight (20%) had AF, of whom 44 (64.7%) were male, with a mean age of 73 ± 12 years. The risk of AF increased by 0.4 [odds ratio: 1.04; 95% confidence interval (CI): 1.02-1.06; P <0.001] for every year of age. Almost the entire sample (66.45%, n = 202) was hypertensive, and those patients had a mean age of 64 ± 17 years, and nearly one-third had a body mass index in the obese category (28.7%, n = 58). In addition, with every increase in the Charlson comorbidity index score by two points, there was a 40% increased risk of developing HTN (OR: 2.47; 95% CI: 1.17–5.18; P = 0.017). The risk factors for the development of HTN and AF in HD patients were found to be increasing age for AF and female sex for HTN. The presence of HTN and diabetes increased the risk of developing AF seven-fold after HD.http://www.sjkdt.org/article.asp?issn=1319-2442;year=2023;volume=34;issue=4;spage=313;epage=322;aulast=Almuhana |
| spellingShingle | Alanoud Husain Almuhana Lolo Ibrahim Alkhwaiter Abeer Alghamdi Alreem Alsaleem Arwa Almehrij Mubarak Abdalla Abdulla Ahmed Al Sayyari Association between Hypertension and Atrial Fibrillation in Patients on Hemodialysis Saudi Journal of Kidney Diseases and Transplantation |
| title | Association between Hypertension and Atrial Fibrillation in Patients on Hemodialysis |
| title_full | Association between Hypertension and Atrial Fibrillation in Patients on Hemodialysis |
| title_fullStr | Association between Hypertension and Atrial Fibrillation in Patients on Hemodialysis |
| title_full_unstemmed | Association between Hypertension and Atrial Fibrillation in Patients on Hemodialysis |
| title_short | Association between Hypertension and Atrial Fibrillation in Patients on Hemodialysis |
| title_sort | association between hypertension and atrial fibrillation in patients on hemodialysis |
| url | http://www.sjkdt.org/article.asp?issn=1319-2442;year=2023;volume=34;issue=4;spage=313;epage=322;aulast=Almuhana |
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