| The heart in uremia: role of hypertension, hypotension, and sleep apnea. | |
| | |
MedLine Citation:
|
PMID: 11576920 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Cardiovascular disease is the leading cause of morbidity and mortality in end-stage renal disease. Causes include those usually found in the general population, those related to the uremic status, and those related to dialytic treatment. Hypertension, hypotension, anemia, hypoalbuminemia, malnutrition, dyslipidemia, reactive C protein, calcium-phosphate product, dialysis modalities, and hyperhomocysteinemia are discussed extensively. Special emphasis is put on hyperparathyroidism as a traditional toxin. The emergent role of sleep apnea has been confirmed in animal models as well as in humans studied using polysomnography. There are difficulties in diagnosing coronary disease, because angiography is not risk-free, is expensive, and should be reserved for patients having symptoms of heart failure and/or patients having diabetes mellitus, and/or patients entering a transplantation list. This allows patients with coronary disease to undergo coronary artery bypass (preferably) or percutaneous transluminal angioplasty. Patients for whom surgery is not appropriate should be treated using more traditional medical procedures. |
| | |
Authors:
|
N G De Santo; M Cirillo; A Perna; L S De Santo; P Anastasio; M R Pollastro; R M De Santo; L Iorio; M Cotrufo; F Rossi |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
|
Title: American journal of kidney diseases : the official journal of the National Kidney Foundation Volume: 38 ISSN: 1523-6838 ISO Abbreviation: Am. J. Kidney Dis. Publication Date: 2001 Oct |
Date Detail:
|
Created Date: 2001-09-28 Completed Date: 2001-12-04 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8110075 Medline TA: Am J Kidney Dis Country: United States |
Other Details:
|
Languages: eng Pagination: S38-46 Citation Subset: IM |
Affiliation:
|
Chairs of Nephrology, Heart Surgery, Pharmacology, and Excellency Center for Heart Failure at the Second University of Naples, Naples, Italy. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Age Distribution Aged Cardiovascular Diseases / diagnosis, epidemiology*, physiopathology, therapy Comorbidity Coronary Angiography Coronary Disease / diagnosis, epidemiology, therapy Female Heart Failure / epidemiology Heart Function Tests Humans Hypertension / epidemiology Hypotension / epidemiology Male Middle Aged Myocardial Revascularization Prevalence Renal Dialysis / statistics & numerical data Risk Factors Sex Distribution Sleep Apnea Syndromes / etiology Survival Rate Uremia / epidemiology*, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Vascular calcification and inorganic phosphate.
Next Document: Mönckeberg's medial sclerosis and inorganic phosphate in uremia.