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Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis
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| Zeitschriftentitel: | Journal of Medical Biochemistry |
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| Personen und Körperschaften: | , , , , |
| In: | Journal of Medical Biochemistry, 30, 2011, 4, S. 302-308 |
| Format: | E-Article |
| Sprache: | Unbestimmt |
| veröffentlicht: |
Centre for Evaluation in Education and Science (CEON/CEES)
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| Schlagwörter: |
| author_facet |
Petrović, Dejan Obrenović, Radmila Trbojević-Stanković, Jasna Majkić-Singh, Nada Stojimirović, Biljana Petrović, Dejan Obrenović, Radmila Trbojević-Stanković, Jasna Majkić-Singh, Nada Stojimirović, Biljana |
|---|---|
| author |
Petrović, Dejan Obrenović, Radmila Trbojević-Stanković, Jasna Majkić-Singh, Nada Stojimirović, Biljana |
| spellingShingle |
Petrović, Dejan Obrenović, Radmila Trbojević-Stanković, Jasna Majkić-Singh, Nada Stojimirović, Biljana Journal of Medical Biochemistry Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis Biochemistry (medical) Clinical Biochemistry |
| author_sort |
petrović, dejan |
| spelling |
Petrović, Dejan Obrenović, Radmila Trbojević-Stanković, Jasna Majkić-Singh, Nada Stojimirović, Biljana 1452-8266 1452-8258 Centre for Evaluation in Education and Science (CEON/CEES) Biochemistry (medical) Clinical Biochemistry http://dx.doi.org/10.2478/v10011-011-0027-1 <jats:title>Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis</jats:title><jats:p>Cardiovascular diseases are the leading cause of death in hemodialysis (HD) patients. The annual cardiovascular mortality rate in these patients is 9%, with left ventricular (LV) hypertrophy, ischemic heart disease and heart failure being the most prevalent causes of death. The aim of this study was to determine the cardiovascular mortality rate and estimate the influence of risk factors on cardiovascular mortality in HD patients. A total of 115 patients undergoing HD for at least 6 months were investigated. Initially a cross-sectional study was performed, followed by a two-year follow-up study. Beside the standard biochemical parameters, C-reactive protein (CRP), homocysteine, cardiac troponins (cTn) and the echocardiographic parameters of LV morphology and function (LV mass index, LV fractional shortening, LV ejection fraction) were determined. Results were analyzed using Cox regression analysis, Kaplan-Meier and Log-Rank tests. The average one-year cardiovascular mortality rate was 8.51%. Multivariate Cox regression analysis identified increased CRP, cTn T and I, and LV mass index as independent risk factors for cardiovascular mortality. Patients with cTnT > 0.10 ng/mL and CRP > 10 mg/L had significantly higher cardiovascular mortality risk (p < 0.01) than patients with cTnT > 0.10 ng/mL and CRP ≤ 10 mg/L and those with cTnT ≤ 0.10 ng/mL and CRP ≤ 10 mg/L (p < 0.01). HD patients with high cTnT and CRP have a higher cardiovascular mortality risk.</jats:p> Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis Journal of Medical Biochemistry |
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| title |
Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis |
| title_unstemmed |
Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis |
| title_full |
Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis |
| title_fullStr |
Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis |
| title_full_unstemmed |
Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis |
| title_short |
Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis |
| title_sort |
cardiovascular mortality in hemodialysis patients: clinical and epidemiological analysis |
| topic |
Biochemistry (medical) Clinical Biochemistry |
| url |
http://dx.doi.org/10.2478/v10011-011-0027-1 |
| publishDate |
2011 |
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302-308 |
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<jats:title>Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis</jats:title><jats:p>Cardiovascular diseases are the leading cause of death in hemodialysis (HD) patients. The annual cardiovascular mortality rate in these patients is 9%, with left ventricular (LV) hypertrophy, ischemic heart disease and heart failure being the most prevalent causes of death. The aim of this study was to determine the cardiovascular mortality rate and estimate the influence of risk factors on cardiovascular mortality in HD patients. A total of 115 patients undergoing HD for at least 6 months were investigated. Initially a cross-sectional study was performed, followed by a two-year follow-up study. Beside the standard biochemical parameters, C-reactive protein (CRP), homocysteine, cardiac troponins (cTn) and the echocardiographic parameters of LV morphology and function (LV mass index, LV fractional shortening, LV ejection fraction) were determined. Results were analyzed using Cox regression analysis, Kaplan-Meier and Log-Rank tests. The average one-year cardiovascular mortality rate was 8.51%. Multivariate Cox regression analysis identified increased CRP, cTn T and I, and LV mass index as independent risk factors for cardiovascular mortality. Patients with cTnT > 0.10 ng/mL and CRP > 10 mg/L had significantly higher cardiovascular mortality risk (p < 0.01) than patients with cTnT > 0.10 ng/mL and CRP ≤ 10 mg/L and those with cTnT ≤ 0.10 ng/mL and CRP ≤ 10 mg/L (p < 0.01). HD patients with high cTnT and CRP have a higher cardiovascular mortality risk.</jats:p> |
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| description | <jats:title>Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis</jats:title><jats:p>Cardiovascular diseases are the leading cause of death in hemodialysis (HD) patients. The annual cardiovascular mortality rate in these patients is 9%, with left ventricular (LV) hypertrophy, ischemic heart disease and heart failure being the most prevalent causes of death. The aim of this study was to determine the cardiovascular mortality rate and estimate the influence of risk factors on cardiovascular mortality in HD patients. A total of 115 patients undergoing HD for at least 6 months were investigated. Initially a cross-sectional study was performed, followed by a two-year follow-up study. Beside the standard biochemical parameters, C-reactive protein (CRP), homocysteine, cardiac troponins (cTn) and the echocardiographic parameters of LV morphology and function (LV mass index, LV fractional shortening, LV ejection fraction) were determined. Results were analyzed using Cox regression analysis, Kaplan-Meier and Log-Rank tests. The average one-year cardiovascular mortality rate was 8.51%. Multivariate Cox regression analysis identified increased CRP, cTn T and I, and LV mass index as independent risk factors for cardiovascular mortality. Patients with cTnT > 0.10 ng/mL and CRP > 10 mg/L had significantly higher cardiovascular mortality risk (p < 0.01) than patients with cTnT > 0.10 ng/mL and CRP ≤ 10 mg/L and those with cTnT ≤ 0.10 ng/mL and CRP ≤ 10 mg/L (p < 0.01). HD patients with high cTnT and CRP have a higher cardiovascular mortality risk.</jats:p> |
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| spelling | Petrović, Dejan Obrenović, Radmila Trbojević-Stanković, Jasna Majkić-Singh, Nada Stojimirović, Biljana 1452-8266 1452-8258 Centre for Evaluation in Education and Science (CEON/CEES) Biochemistry (medical) Clinical Biochemistry http://dx.doi.org/10.2478/v10011-011-0027-1 <jats:title>Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis</jats:title><jats:p>Cardiovascular diseases are the leading cause of death in hemodialysis (HD) patients. The annual cardiovascular mortality rate in these patients is 9%, with left ventricular (LV) hypertrophy, ischemic heart disease and heart failure being the most prevalent causes of death. The aim of this study was to determine the cardiovascular mortality rate and estimate the influence of risk factors on cardiovascular mortality in HD patients. A total of 115 patients undergoing HD for at least 6 months were investigated. Initially a cross-sectional study was performed, followed by a two-year follow-up study. Beside the standard biochemical parameters, C-reactive protein (CRP), homocysteine, cardiac troponins (cTn) and the echocardiographic parameters of LV morphology and function (LV mass index, LV fractional shortening, LV ejection fraction) were determined. Results were analyzed using Cox regression analysis, Kaplan-Meier and Log-Rank tests. The average one-year cardiovascular mortality rate was 8.51%. Multivariate Cox regression analysis identified increased CRP, cTn T and I, and LV mass index as independent risk factors for cardiovascular mortality. Patients with cTnT > 0.10 ng/mL and CRP > 10 mg/L had significantly higher cardiovascular mortality risk (p < 0.01) than patients with cTnT > 0.10 ng/mL and CRP ≤ 10 mg/L and those with cTnT ≤ 0.10 ng/mL and CRP ≤ 10 mg/L (p < 0.01). HD patients with high cTnT and CRP have a higher cardiovascular mortality risk.</jats:p> Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis Journal of Medical Biochemistry |
| spellingShingle | Petrović, Dejan, Obrenović, Radmila, Trbojević-Stanković, Jasna, Majkić-Singh, Nada, Stojimirović, Biljana, Journal of Medical Biochemistry, Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis, Biochemistry (medical), Clinical Biochemistry |
| title | Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis |
| title_full | Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis |
| title_fullStr | Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis |
| title_full_unstemmed | Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis |
| title_short | Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis |
| title_sort | cardiovascular mortality in hemodialysis patients: clinical and epidemiological analysis |
| title_unstemmed | Cardiovascular Mortality in Hemodialysis Patients: Clinical and Epidemiological Analysis |
| topic | Biochemistry (medical), Clinical Biochemistry |
| url | http://dx.doi.org/10.2478/v10011-011-0027-1 |