대한신장학회

논문분류	춘계학술대회 초록집
제목	Clinicodemographic Profile And Risk Factors of Heart Failure Among Chronic Kidney Disease Patients on Maintenance Hemodialysis In A Secondary Hospital Hemodialysis Unit In Tacloban City
저자	Michael Jan Parone
출판정보	2026; 2026(1):
키워드	heart failure, preserved ejection fraction, mildly reduced ejection fraction, reduced ejection fraction, chronic kidney disease
초록	Objectives: Heart failure (HF) and chronic kidney disease (CKD) frequently coexist, creating a complex clinical interplay that significantly increases morbidity and mortality. In the Philippines, CKD represents a severe health challenge because of the escalating burden of CKD and its cardiovascular complications in the local population. This study aimed to determine the association between heart failure phenotypes and chronic kidney disease patients on maintenance hemodialysis in terms of clinicodemographic profile, risk factors of heart failure, and diagnostic profile. Methods: A cross-sectional analytical study was conducted among all outpatient chronic kidney disease patients undergoing maintenance hemodialysis at the Doña Remedios Trinidad Romualdez Educational Foundation Hospital Hemodialysis Unit from May 2025 – July, 2025. Clinicodemographic, risk factors and diagnostic profile were described. Descriptive statistics, Chi-square test, ANOVA, and/or Kruskal-Wallis test were utilized to determine the association between heart failure phenotypes and the patients’ clinico-demographic characteristics, diagnostic profile and risk factors of the CKD patients. Results: There were 93 patients included in the study, predominantly older adults (40–64 years, 51.6%), males (51.6%), obese individuals (37.6%), with hemodialysis for 1–4 years. Most patients had HFpEF (92.5%), normal 12-lead ECG (65.1%), normal chest X-ray (50%), and elevated NT-proBNP levels (30%). Anemia (81%) and bone mineral disorders (80%) were the most common comorbidities. Elevated blood pressure (36%) and normal heart rates (88%) were frequently observed. Family history of heart disease was more common only in the HFpEF group. Conclusion: Heart failure phenotypes among CKD patients were not significantly associated with clinicodemographic characteristics. Conversely, significant associations were identified with key risk factors—specifically anemia, obesity, and elevated blood pressure, and NT-proBNP levels. These findings highlight the importance of targeted risk factor management and biomarker monitoring in improving cardiovascular assessment among hemodialysis patients.
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