Document Detail


Does the nephrotic syndrome increase the risk of cardiovascular disease?
MedLine Citation:
PMID:  90759     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiovascular mortality and morbidity were assessed, after a mean follow-up period of 5 years, in an unselected series of 159 adults presenting with the nephrotic syndrome between 1972 and 1975. 60% of the deaths were attributed to terminal renal failure, and the incidence of deaths from ischaemic heart-disease (IHD) was not significantly above normal. The proportion of patients experiencing angina and intermittent claudication and the prevalence of ischaemic electrocardiographic changes did not differ significantly from those of a London control population. At follow-up, hypertension was significantly more common (p less than 0.001) in male nephrotic patients than in controls. Earlier reports of a greatly increased incidence of IHD in unselected patients with the nephrotic syndrome were not confirmed. Routine treatment of hyperlipidaemia in the nephrotic syndrome is not, therefore, recommended.
Authors:
V J Wass; R J Jarrett; C Chilvers; J S Cameron
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Lancet     Volume:  2     ISSN:  0140-6736     ISO Abbreviation:  Lancet     Publication Date:  1979 Sep 
Date Detail:
Created Date:  1979-12-20     Completed Date:  1979-12-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  664-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Coronary Disease / epidemiology*,  mortality
Female
Follow-Up Studies
Humans
Hypertension / epidemiology*
London
Male
Middle Aged
Nephrotic Syndrome / complications*
Population Surveillance
Questionnaires
Risk
Sex Ratio
Time Factors

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


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