Your browser doesn't support javascript.
loading
[Cardiac valves calcifications in dialysis patients]. / Kalcifikacije srcanih zalistaka kod pacijenata na kronicnoj hemodijalizi.
Klaric, Dragan; Klaric, Vera; Kristic, Ivica.
Afiliación
  • Klaric D; Zadar General Hospital, Department of Internal Medicine, Division of Nephrology, Croatia. dragan.klaric@zd.t-com.hr
Acta Med Croatica ; 65 Suppl 3: 11-3, 2011 Oct.
Article en Hr | MEDLINE | ID: mdl-23120808
Chronic kidney disease (CKD) patients, especially those with end-stage renal disease (ESRD), are at much higher risk of cardiovascular disease (CVD) than the general population. High serum phosphorus (P) level play important role in pathogenesis of cardiovascular calcifications and is a frequent and important cardiovascular risk factor in patients with CKD. We aimed to investigate the association of serum levels of C-reactive protein (CRP), parathyroid hormon (PTH). calcium phosphorus product (CaxP) with cardiac valves calcifications (VC) in patients on hemodialysis (HD). We investigated for VC using colour Doppler echocardiography. VC were considered present if mitral annular calcifications and/or aortic annular calcifications were visualized. We divided patients in two groups. VC negative group (VC-) were patients with absence of VC. Patients with presence of VC were VC positive (VC+). CRP mean levels in two samples were higher in VC+ group than in VC- group (17.0 vs 3.4mg/L) and (17.1 vs 4.0 mg/L) p<0.0001. CaxP mean level in both samples was higher in VC+ group than in VC- group, 4.8 vs 4.2 (p=0.0219) and 5.0 vs 4.3 (p=0.0078). We also made analysis of absolute highest levels of three samples of CRP (CRPmax) between groups. CRPmax was higher in VC+ group than in VC- group, 19.5 vs 9.7 mg/L, (p=0.0045). We made analysis of absolute higher levels of two samples of Ca x P (CaxPmax) between groups. CaxPmax was higher in VC+ group than in VC- group, 5.2 vs 4.4 (p=0.0014). We found cardiac valve calcifications in 40 percent of patients on hemodialysis. We found that patients with correlation between PTH level, CRP level, CaxP product and cardiac valve calcifications have higher serum levels of PTH and CRP. We also found that CaxP product is higher in patients with cardiac valve calcifications. We didn't find correlation between age, dialysis duration, BMI and cardiac valve calcifications. These findings support careful monitoring of calcium metabolisum in end stage renal disease to reduce valvular cacifications and the risk of cardiovascular disease.
Asunto(s)
Buscar en Google
Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calcinosis / Diálisis Renal / Enfermedades de las Válvulas Cardíacas / Fallo Renal Crónico Tipo de estudio: Etiology_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged Idioma: Hr Revista: Acta Med Croatica Asunto de la revista: MEDICINA Año: 2011 Tipo del documento: Article País de afiliación: Croacia Pais de publicación: Croacia
Buscar en Google
Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calcinosis / Diálisis Renal / Enfermedades de las Válvulas Cardíacas / Fallo Renal Crónico Tipo de estudio: Etiology_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged Idioma: Hr Revista: Acta Med Croatica Asunto de la revista: MEDICINA Año: 2011 Tipo del documento: Article País de afiliación: Croacia Pais de publicación: Croacia