Prevalence of masked hypertension In children with chronic kidney Disease and evaluation of left Ventricular function- a cross Sectional study

Abstract

Background: Chronic kidney disease (CKD) is defined as abnormalities of kidney structure or function, present for at least 3 months, with implications for health. Common causes include congenital anomalies of kidney and urinary tract (CAKUT), focal segmental glomerulosclerosis (FSGS) and lupus in older children. Hypertension and left ventricular hypertrophy are commonly associated co morbidities. Hypertension may be missed clinically but detected by ambulatory bp measurement. This is called masked hypertension. It is associated with accelerated disease progression. Due to limited studies in India, our study aims to fill this lacuna that is important for early risk stratification and management Objectives: • Primary Objective: To identify the prevalence of masked hypertension in children with chronic kidney disease • Secondary objective: to evaluate left ventricular hypertrophy in children with chronic kidney disease using echocardiography • Settings and Design: It is a cross-sectional study carried out in 30 patients who had chronic kidney disease presented to Pediatric department of Dr Prabhakar Kore Hospital & MRC Belagavi, Karnataka, India. clinical data were collected from patients. Measurements of casual blood pressure and ambulatory blood pressure 24 hour was taken. 2d echocardiography was done