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Renal impairment in chronic cigarette smokers.
Gambaro, G; Verlato, F; Budakovic, A; Casara, D; Saladini, G; Del Prete, D; Bertaglia, G; Masiero, M; Checchetto, S; Baggio, B.
Afiliación
  • Gambaro G; Institute of Internal Medicine, University Hospital, Padua, Italy.
J Am Soc Nephrol ; 9(4): 562-7, 1998 Apr.
Article en En | MEDLINE | ID: mdl-9555657
To determine the effect of chronic cigarette smoking on renal function, a cross-sectional study was carried out with 30 subjects who had no known vascular disease risk factor other than cigarette smoking, and 24 age- and sex-matched controls without any vascular risk factor including cigarette smoking. Renal function by radionuclide studies of renal plasma flow, GFR, and plasma endothelin-1 concentration was determined. Compared with nonsmokers, smokers had a renal function impairment characterized by a normal GFR and a significant reduction in renal plasma flow as reflected by MAG3 clearance (199.20 +/- 58.85 ml/min per 1.73 m2 versus 256.54 +/- 60.14 ml/min per 1.73 m2; t = 3.52, P < 0.001). MAG3 clearance was significantly correlated with age and smoking. The renal dysfunction was associated with an increase in plasma endothelin-1 concentration (21.56 +/- 1.15 pmol/L versus 25.01 +/- 3.21 pmol/L; t = 5.00, P < 0.001). Former smokers as well had similar, although milder, abnormalities. In conclusion, cigarette smokers manifest an impairment of renal function, suggesting that smoke may have a detrimental effect on renal function.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Circulación Renal / Fumar / Endotelina-1 / Tasa de Filtración Glomerular / Enfermedades Renales Tipo de estudio: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Am Soc Nephrol Asunto de la revista: NEFROLOGIA Año: 1998 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Circulación Renal / Fumar / Endotelina-1 / Tasa de Filtración Glomerular / Enfermedades Renales Tipo de estudio: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Am Soc Nephrol Asunto de la revista: NEFROLOGIA Año: 1998 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos