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Risk Factors for New-Onset Cardiac Valve Calcification in Patients on Maintenance Peritoneal Dialysis

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机构: [1]Department of Nephrology, Second Affiliated Hospital of Soochow University, Suzhou, China.
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关键词: Cardiac valve calcification Peritoneal dialysis Risk factor

摘要:
Objective: Patients with end-stage renal disease are susceptible to cardiac valve calcification (CVC) due to mineral metabolism disorders and other factors. The purpose of this study was to investigate the risk factors for new-onset CVC in patients on maintenance peritoneal dialysis (PD). Methods: This study included patients who underwent PD catheter insertion from January 2006 to June 2013 in our Peritoneal Dialysis Center. Clinical data were collected on CVC status during echocardiography evaluations (twice) at an interval of >6 months. The data collected included intact parathyroid hormone, C-reactive protein (CRP), serum phosphorus (P), serum calcium (Ca), albumin (Alb), prealbumin and the use of five types of antihypertensive drugs, statins, active vitamin D3 and Ca tablets. Results: In total, 194 patients 105 (54.1%) men, average age 60.5 +/- 13.0 years were included. CVC was present in 50 (25.8%) patients during PD catheter placement. After an average PD duration of 20.9 +/- 10.4 months, CVC was detected in 97 patients (50.0%). New-onset CVC was found in 62 patients (32.0%). Multivariate logistic regression analysis revealed that only serum P levels (p = 0.01, OR = 2.569), Alb levels (p = 0.04, OR = 0.935), dialysis duration (p = 0.03, OR = 1.039) and CRP levels (p = 0.02, OR = 1.031) were associated with CVC. Conclusion: Serum P, Alb and CRP levels as well as dialysis duration are independent risk factors for CVC. (C) 2016 S. Karger AG, Basel

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出版当年[2015]版:
大类 | 4 区 医学
小类 | 4 区 心脏和心血管系统 4 区 泌尿学与肾脏学
最新[2025]版:
大类 | 3 区 医学
小类 | 4 区 心脏和心血管系统 4 区 泌尿学与肾脏学
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出版当年[2014]版:
Q2 UROLOGY & NEPHROLOGY Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
最新[2023]版:
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Q2 UROLOGY & NEPHROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

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第一作者机构: [1]Department of Nephrology, Second Affiliated Hospital of Soochow University, Suzhou, China.
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通讯机构: [*]Department of Nephrology, Second Affiliated Hospital of Soochow University, 1055 Sanxiang Road, Jinchang District Suzhou, Jiangsu Province (China)
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