Incidence, outcome, and risk factors of cerebrovascular events in patients undergoing maintenance hemodialysis

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
M KawamuraTanenao Eto

Abstract

We retrospectively investigated the incidence and prognosis of and risk factors for cerebrovascular events in 1,064 patients with chronic uremia who received maintenance hemodialysis (HD) for more than 3 months during 24 years in our dialysis units in Miyazaki, Japan. Cerebrovascular events developed in 98 patients (9.2%). The confirmed incidences of cerebral hemorrhage (CH) and infarction were 8.7 and 3.7 per 1,000 patient-years, respectively. Of the 56 patients with CH, 40 (71.4%) died within 3 months of the onset of CH. Ganglio-thalamic lesion was observed in 32 (80.0%) of 40 patients with CH confirmed by a brain computed tomography. The incidence of polycystic kidney disease was higher in the CH group than in the overall HD population (12.5% v 3.9%, P < 0.01). Of the 13 patients with diabetes mellitus and nephrosclerosis, nine (69.2%) developed CH within 36 months of the initiation of HD; 11 (78.6%) of 14 patients with chronic glomerulonephritis developed CH after 36 months. CH developed in six patients (15.0%) within 6 hours of a previous HD session. We compared laboratory values, the supine blood pressure, and electrocardiographic (ECG) findings in 35 patients with CH and a control group (66 patients) matched in age, sex,...Continue Reading

Citations

Sep 29, 2011·BMC Nephrology·Benjamin K A ThomsonBrenda R Hemmelgarn
Jan 23, 2009·Clinical Journal of the American Society of Nephrology : CJASN·Jean-Marc BugnicourtOlivier Godefroy
Jan 1, 2009·Indian Journal of Nephrology·P Rama KrishnaV Siva Kumar
Feb 4, 2010·Journal of Atherosclerosis and Thrombosis·Naoki WashidaHiroshi Itoh
Sep 28, 2013·European Journal of Internal Medicine·Tanja Hojs Fabjan, Radovan Hojs
Sep 20, 2000·Current Hypertension Reports·M M Salem
Dec 6, 2001·Current Hypertension Reports·M Rahman, M C Smith
Mar 15, 2005·The American Journal of Emergency Medicine·Youichi YanagawaKatsuji Shima
Dec 3, 2013·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Hsi-Hao WangJung-Der Wang
Oct 22, 2013·World Neurosurgery·Noriaki SakamotoAkira Matsumura
Jul 9, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Masakazu OkawaTooru Inoue
Jan 22, 2013·Annals of Epidemiology·James B WetmoreTheresa I Shireman
Jul 15, 2005·Kidney International·Farzad ZiaiMartin Haas
Jul 9, 2003·Kidney International·Stephen L SeligerCatherine O Stehman-Breen
May 9, 2012·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Jenny I Shen, Wolfgang C Winkelmayer
Dec 20, 2011·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Chien-Chun KuoChun-Yuh Yang
Sep 29, 2011·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Albert PowerNeill Duncan
Aug 25, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Stephen L Seliger
Sep 8, 2000·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·M M Ward
Nov 13, 2007·Ultrasound in Medicine & Biology·P PalanchonF Tranquart
Aug 11, 2007·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Akira Watanabe
Mar 27, 2007·Néphrologie & thérapeutique·Valéry AntoineLaure Bodenan
Jul 15, 2004·Seminars in Dialysis·Frank M van der SandeJeroen P Kooman
Jul 15, 2004·Seminars in Dialysis·Kelvin L Lynn
Aug 9, 2006·Seminars in Dialysis·Samsher SonawaneJeffrey S Berns
Nov 10, 2007·Seminars in Dialysis·Eduardo Lacson, J Michael Lazarus
Nov 2, 2007·International Journal of Clinical Practice·C-Y ChouC-C Huang
Oct 19, 2007·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·T Hojs FabjanB Pecovnik Balon
Oct 11, 2012·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Hideki HirakataUNKNOWN Japanese Society for Dialysis Therapy
Nov 30, 2004·Clinical Neurology and Neurosurgery·R Brouns, P P De Deyn
Oct 2, 2007·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Hiroaki OguroShuhei Yamaguchi
Feb 18, 2003·Clinical Transplantation·Anna OliverasJosep Lloveras
Jun 17, 2006·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Nobuko MatsumotoHiroaki Matsuoka

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