Key result
Stage 3 CKD and albuminuria show no link to adverse central hemodynamics compared to controls.
Why the study?
Vascular rigidity and progressive CKD predict elevated central blood pressure and are linked to increased cardiovascular disease and death, motivating assessment of the link between stage 3 CKD and central hemodynamics.
Is stage 3 chronic kidney disease associated with altered central hemodynamics compared to patients without chronic kidney disease?
Case-Control (n=300)
Is stage 3 chronic kidney disease associated with altered central hemodynamics compared to patients without chronic kidney disease?
Early chronic kidney disease and albuminuria do not appear to be independently associated with adverse central hemodynamic factors.
Stage 3 CKD and albuminuria show no link to adverse central hemodynamics; leaves open whether progression or confounders drive prior associations.
Background Vascular rigidity and progressive chronic kidney disease (CKD) are great predictors of elevated central blood pressure and are linked to elevated cardiovascular disease and death. Aim The research aimed to assess the link between stage 3 CKD and central hemodynamics. Patients and methods Two hundred patients with CKD stage 3 and 100 participants without CKD as a control cluster. Each person was exposed to a full history of total clinical evaluation, laboratory investigation, and noninvasive assessment of central blood pressure by using Mobil-O-Graph PWA. Statistical analysis was achieved using IBM SPSS software package, version 20.0 for all collected data. Results There has been a statistically important divergence between the two groups regarding age, BMI, hazard elements except smoking, cardiovascular disease, brachial [systolic blood pressure (SBP), pulse pressure (PP), mean blood pressure], central PP, and augmented pressure, and has been no significant difference as regard sex, central SBP, augmentation index, PP amplification, and pulse wave velocity between the studied groups. There were 50 patients who had albuminuria. There was a statistically important gap between the two classes regarding brachial (SBP, PP), the disparity between the two classes was statistically negligible concerning central hemodynamic parameters (central SBP, central diastolic blood pressure, augmentation index, pulse wave velocity, central PP, PP amplification, augmented pressure). Conclusion In our study, early CKD and albuminuria were not separately linked to injurious central hemodynamic factors.
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Elbatawy et al. (2025) conducted a case-control in Stage 3 chronic kidney disease (n=300). Stage 3 CKD vs. Participants without CKD was evaluated on Central hemodynamics (central blood pressure, augmentation index, pulse wave velocity). Stage 3 chronic kidney disease and albuminuria were not linked to adverse central hemodynamic factors, with no significant difference in central systolic blood pressure compared to controls.
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