Jun 10, 2003

Dialysis as a risk factor for development of atherosclerosis

Medicinski pregled
Tatjana Damjanović, Nada Dimković

Abstract

Atherosclerosis is a major risk factor for increased cardiovascular morbidity and mortality in dialysis patients. First clinical symptoms are usually associated with initial atherosclerotic changes of blood vessels. The aim of this study was ultrasound evaluation of intima media thickness (IMT) of carotid arteries in dialysis patients and its correlation with certain risk factors. IMT was measured in 45 dialysis patients with no signs of cardiovascular diseases: 15 continuous ambulatory peritoneal dialysis (CAPD) patients, 30 hemodialysis (HD) patients and in 20 healthy controls. IMT was correlated with certain risk factors for atherosclerosis (general parameters--age, gender, duration of dialysis, cause of renal diseases, parameters of nutrition, parameters of calcium and phosphorus metabolism, lipid parameters, blood pressure and smoking). The mean carotid artery IMT was significantly higher in dialysis patients than in the control group (p < 0.05). In addition, the mean IMT was statistically significantly higher in PD than in HD patients (p < 0.05). In CAPD patients there was a significant correlation between IMT and total and LDL cholesterol. In the second group (HD patients) IMT significantly correlated with diastolic bloo...Continue Reading

  • References10
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References

  • References10
  • Citations1

Citations

Mentioned in this Paper

Hemodialysis
Tomography, Ultrasonic
Cardiovascular Diseases
Obesity
Internal Carotid Artery Diseases
Atherosclerosis
Obesity, Morbid
Arteriosclerosis
Peritoneal Dialysis, Continuous Ambulatory
Otitis Media

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