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Abstract Pulmonary congestion is highly prevalent and often asymptomatic among patients with ESRD treated with hemodialysis, our work aimed to find relation between ABPM, lung congestion as evident by lung ultrasound B - lines and coronary artery disease. Patients and methods:.Our study included 50 Hemodialysis patients who were divided into 2 groups according to IDWG (group 1 more than 4 kg and group 2 less than 4 kg) each group was subjected to lung ultrasound (counting B - Lines), ABPM, ECG. The sleep systolic dip was higher among group of higher IDWG with statistically significant differing (P < 0.05) between both studied groups as regard ABPM findings. Statistically significant positive correlation between lung B - lines and BP readings (systolic and diastolic) in the group (IDWG less than 4 kg) r = 0.4 (p < 0.05) while the correlation still preserved only with diastolic blood pressure with the group of higher IDWG |