Abstract

PROPORTION OF RESISTANT HYPERTENSION AND PRESCRIBING PATTERN OF ANTIHYPERTENSIVES IN CHRONIC KIDNEY DISEASE: A PILOT STUDY

Arya Rajan, Anisha D. S., Christy Surendran, Alinta S. B. Muth, Neethu J.*, Dr. Prasobh G. R. and Dr. I. John Wesley

ABSTRACT

Background: Resistant hypertension although being multi factorial in etiology, has been found as major concern in chronic kidney disease. The extent and effect of resistant hypertension in chronic kidney disease among south indian population need to be studied. Aim: To assess the proportion of resistant hypertension by analyzing the prescribing pattern of anti hypertensives in patients with chronic kidney disease. Objectives:-To assess the prescribing pattern of anti hypertensives in chronic kidney disease. To assess the proportion of resistant hypertension in chonic kidney disease. Methods:-Patients with chronic kidney disease receiving anti hypertensives were included in the study. Only the out patients were included in the study. The blood pressure readings were taken at their visit to the out patient department and the anti hypertensives prescribed was recorded. Statistical analysis was performed using suitable software programme. Results:-The proportion of resistant hypertension was found to be 83.3% (p0.000).46.7% received triple therapy distribution for the management of hypertension in chronic kidney disease (p0.002).The most prescribed drug was of the class diuretic(83.3%, p 0.000). Conclusion:- The proportion of resistant hypertension in chronic kidney disease was highly significant and greater propotion of patients are treated with multiple drug therapy to achieve the blood pressure goal.

Keywords: Anti Hypertensives, Ckd, Prescribing Pattern, Resistant Hypertension.