#2871 BRAIN NATRIURETIC PEPTIDE LEVEL IN CHRONIC EGYPTIAN HEMODIALYSIS PATIENTS: ITS RELATION TO VENTRICULAR FUNCTION AND VOLUME STATUS

Abstract Background and Aims Volume overload is major problem in chronic hemodialysis patient BNP level related to volume status of the . To assess before after HD session study its role as a marker for depending on clinical findings echocardiography parametershemodialysis. Method The was conducted 50 patients Nephrology unit, Mansoura University Hospital. Our were classified according left ventricular mass index (LVMI) into with hypertrophy (LVH)(35 patients) without LVH (15 patients). We our another two groups predialysis group level˃100pg/ml(33 which associated cardiac dysfunction level˂100pg/ml (17 Results In present study, median pre-dialysis 126 pg/ml post- dialysis 25 pg/ml, this demonstrate that plasma decline session. Among studied patients, mean systolic BP high ˃100 (155.65) higher than low level˂100 incidence lower limb edema, congested neck veins chest crepitations (˃100 pg/ml) when compared (<100 pg/ml). ROC curve, may be edema cutoff point (140.8) (85%) sensitivity (77%) specificity shows best prediction (40.4) (94%) and(28%) crepitation (42.8) (82%) (30%) Conclusion Egyptian hempodialysis there negative correlation between weight pre post dialysis.There significant postdialysis systoilc predialysis, RVD COP. There signifcant delta ultrafiltration volume.