Increased Prevalence and Severity of Coronary Artery Calcification in Patients with Chronic Kidney Disease Stage III and IV
Background: Cardiovascular disease (CVD) is the main cause of mortality in patients with chronic kidney disease (CKD). The pathophysiology of coronary artery disease in CKD is multifactorial including, in addition to traditional risk factors (hypertension, hyperlipidemia, diabetes mellitus), paramet...
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doaj-cb1d42cf1f6541758f574772de2aa6e42020-11-24T23:34:53ZengKarger PublishersNephron Extra1664-55292012-07-012119220410.1159/000339786339786Increased Prevalence and Severity of Coronary Artery Calcification in Patients with Chronic Kidney Disease Stage III and IVMaria KoukoulakiEvangelos PapachristouChristina KalogeropoulouMaria PapathanasiouPetros ZampakisMaria VardoulakiDimitrios AlexopoulosDimitrios S. GoumenosBackground: Cardiovascular disease (CVD) is the main cause of mortality in patients with chronic kidney disease (CKD). The pathophysiology of coronary artery disease in CKD is multifactorial including, in addition to traditional risk factors (hypertension, hyperlipidemia, diabetes mellitus), parameters related to uremia. Methods: The study consisted of measuring coronary artery calcification (CAC) score in patients with CKD stage III and IV without history of CVD and in a group of controls with normal renal function matched for age, gender and risk factors using multi-detector computed tomography. Results: The study included 49 patients and 49 controls. CAC was present in 79.6% in the CKD group versus 59.2% in the control group (p = 0.028). The median CAC score value in CKD patients was 139 (interquartile range (IQR): 23–321) versus 61 (IQR: 6–205) in controls (p = 0.007). CAC was associated with traditional risk factors such as older age, hypertension and baseline cardiovascular risk score, while CKD patients with severe calcification had marginally lower estimated glomerular filtration rate and increased levels of parathormone. Conclusions: CAC is more frequent and severe in patients with CKD stage III and IV compared to matched controls with normal renal function, even though kidney disease-related parameters are not directly correlated with intensity of calcification.http://www.karger.com/Article/FullText/339786Agatston scoreChronic kidney diseaseCoronary artery calcificationFramingham risk scoreMulti-detector computed tomographyParathormone |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Maria Koukoulaki Evangelos Papachristou Christina Kalogeropoulou Maria Papathanasiou Petros Zampakis Maria Vardoulaki Dimitrios Alexopoulos Dimitrios S. Goumenos |
spellingShingle |
Maria Koukoulaki Evangelos Papachristou Christina Kalogeropoulou Maria Papathanasiou Petros Zampakis Maria Vardoulaki Dimitrios Alexopoulos Dimitrios S. Goumenos Increased Prevalence and Severity of Coronary Artery Calcification in Patients with Chronic Kidney Disease Stage III and IV Nephron Extra Agatston score Chronic kidney disease Coronary artery calcification Framingham risk score Multi-detector computed tomography Parathormone |
author_facet |
Maria Koukoulaki Evangelos Papachristou Christina Kalogeropoulou Maria Papathanasiou Petros Zampakis Maria Vardoulaki Dimitrios Alexopoulos Dimitrios S. Goumenos |
author_sort |
Maria Koukoulaki |
title |
Increased Prevalence and Severity of Coronary Artery Calcification in Patients with Chronic Kidney Disease Stage III and IV |
title_short |
Increased Prevalence and Severity of Coronary Artery Calcification in Patients with Chronic Kidney Disease Stage III and IV |
title_full |
Increased Prevalence and Severity of Coronary Artery Calcification in Patients with Chronic Kidney Disease Stage III and IV |
title_fullStr |
Increased Prevalence and Severity of Coronary Artery Calcification in Patients with Chronic Kidney Disease Stage III and IV |
title_full_unstemmed |
Increased Prevalence and Severity of Coronary Artery Calcification in Patients with Chronic Kidney Disease Stage III and IV |
title_sort |
increased prevalence and severity of coronary artery calcification in patients with chronic kidney disease stage iii and iv |
publisher |
Karger Publishers |
series |
Nephron Extra |
issn |
1664-5529 |
publishDate |
2012-07-01 |
description |
Background: Cardiovascular disease (CVD) is the main cause of mortality in patients with chronic kidney disease (CKD). The pathophysiology of coronary artery disease in CKD is multifactorial including, in addition to traditional risk factors (hypertension, hyperlipidemia, diabetes mellitus), parameters related to uremia. Methods: The study consisted of measuring coronary artery calcification (CAC) score in patients with CKD stage III and IV without history of CVD and in a group of controls with normal renal function matched for age, gender and risk factors using multi-detector computed tomography. Results: The study included 49 patients and 49 controls. CAC was present in 79.6% in the CKD group versus 59.2% in the control group (p = 0.028). The median CAC score value in CKD patients was 139 (interquartile range (IQR): 23–321) versus 61 (IQR: 6–205) in controls (p = 0.007). CAC was associated with traditional risk factors such as older age, hypertension and baseline cardiovascular risk score, while CKD patients with severe calcification had marginally lower estimated glomerular filtration rate and increased levels of parathormone. Conclusions: CAC is more frequent and severe in patients with CKD stage III and IV compared to matched controls with normal renal function, even though kidney disease-related parameters are not directly correlated with intensity of calcification. |
topic |
Agatston score Chronic kidney disease Coronary artery calcification Framingham risk score Multi-detector computed tomography Parathormone |
url |
http://www.karger.com/Article/FullText/339786 |
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