Document Detail


Atherosclerosis risk factors related to hemodialysis duration and erythropoietin therapy.
MedLine Citation:
PMID:  11506457     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients undergoing hemodialysis are at risk for atherosclerosis and its complications. The aim of this study was to examine the effect of erythropoietin therapy and hemodialysis duration on some of the atherosclerotis risk factors. The patients were divided into four groups: I: patients undergoing hemodialysis for less than 10 years (n=22); II: patients undergoing hemodialysis for more than 10 years (n=17); III: patients on no erythropoietin (n=21); IV: patients on erythropoeitin therapy (n=18). A control group of 20 subjects was also examined. Triglycerides, total cholesterol, low-density lipoprotein and high-density lipoprotein, lipoprotein(a), apolipoprotein-A1, apolipoprotein-B and lipid peroxidation were examined. There was a significant increase in triglycerides, to 2.59+/-1.2 mmol/l (p<0.001) and in lipid peroxidation in hemodialysis patients, to 5.02+/-0.9 micromol/l vs. controls (p<0.001). Significantly elevated triglycerides and lipid peroxidation levels were found in the patients with longer hemodialysis duration. Triglycerides were elevated in group II vs. group I, to 2.90+/-1.0 mmol/l. (p<0.05). Lipid peroxidation in group II, 5.40+/-1.0 micromol/l, showed significant difference compared to group I (p<0.05). Erythropoietin treatment did not affect any of the examined parameters. These results indicate increased risk for atherosclerosis related to hemodialysis duration. Besides the renal disease itself, hemodialysis may also be one of the risk factors for atherosclerosis.
Authors:
B Dejanova; V Filipce; P Dejanov; A Sikole; R Grozdanovski; V Maleska
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical chemistry and laboratory medicine : CCLM / FESCC     Volume:  39     ISSN:  1434-6621     ISO Abbreviation:  Clin. Chem. Lab. Med.     Publication Date:  2001 Jun 
Date Detail:
Created Date:  2001-08-16     Completed Date:  2002-02-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9806306     Medline TA:  Clin Chem Lab Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  484-6     Citation Subset:  IM    
Affiliation:
Institute of Physiology, Medical Faculty, Skopje, Macedonia. betidej@soros.org.mk
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MeSH Terms
Descriptor/Qualifier:
Adult
Arteriosclerosis / etiology*
Case-Control Studies
Erythropoietin, Recombinant / adverse effects*
Female
Humans
Lipid Peroxidation / drug effects
Lipids / blood
Male
Middle Aged
Renal Dialysis / adverse effects*
Risk Factors
Time Factors
Triglycerides / blood
Chemical
Reg. No./Substance:
0/Erythropoietin, Recombinant; 0/Lipids; 0/Triglycerides

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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