: The main cause of morbidity and mortality in hemodialysis patients is cardiovascular disease, which is quite common. The main objective of our study was to investigate the relationship between oxidative stress, inflammation, and vascular and valvular calcifications in hemodialysis patients. : This observational study had 54 hemodialysis patients, with an average age of 60.46 ± 13.18 years. Cardiovascular ultrasound was used to detect and/or measure aortic and mitral valve calcifications, carotid and femoral atheroma plaques, and common carotid intima-media thickness. The aortic calcification score was determined using a lateral abdomen plain radiograph. The inflammatory, oxidative, metabolic, and dietary statuses, as well as demographic characteristics, were identified. : There were significant correlations between the levels of IL-6 and carotid plaque number ( = 0.003), fibrinogen level and aortic valve calcifications ( = 0.05), intima-media thickness ( = 0.0007), carotid plaque number ( = 0.035), femoral plaque number ( = 0.00014), and aortic calcifications score ( = 0.0079). Aortic annulus calcifications ( = 0.03) and intima-media thickness ( = 0.038) were adversely linked with TNF-α. Nutrition parameters were negatively correlated with atherosclerosis markers: number of carotid plaques with albumin ( = 0.013), body mass index ( = 0.039), and triglycerides ( = 0.021); number of femoral plaques with phosphorus (0.013), aortic calcifications score with albumin ( = 0.051), intima-media thickness with LDL-cholesterol ( = 0.042). Age and the quantity of carotid plaques, femoral plaques, and aortic calcifications were linked with each other ( = 0.0022, 0.00011, and 0.036, respectively). Aortic annulus calcifications ( = 0.011), aortic valve calcifications ( = 0.023), and mitral valve calcifications ( = 0.018) were all associated with an increased risk of death. : Imaging measures of atherosclerosis are adversely connected with dietary status and positively correlated with markers of inflammation and risk of mortality.
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http://dx.doi.org/10.3390/medicina59101801 | DOI Listing |
Aim: Chronic Kidney Disease (CKD) has emerged as a global public health concern. People with the most advanced stage of CKD require renal replacement therapies, either dialysis (the focus of this study) or a kidney transplant. Research on CKD has primarily focused on its clinical, epidemiological, and public health aspects.
View Article and Find Full Text PDFClin Teach
February 2025
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Background: Seeking to provide early paediatric nephrology exposure to medical students in the United States, we implemented the Kids In Dialysis, Nephrology Exposure and Education (KIDNEE) club. This club served as an educational intervention in which preclinical medical students were paired with paediatric dialysis patients, as patient buddies.
Approach: Students were recruited for involvement in the club through the medical school Paediatric Interest Group.
Nurs Health Sci
March 2025
College of Nursing, Jeonbuk National University, Jeonju, Republic of Korea.
The aim of this study was to develop and validate a predictive model to enhance self-management and quality of life in patients undergoing hemodialysis, using the Information-Motivation-Behavioral (IMB) skills model. A cross-sectional study design was employed, with data collected from 245 participants selected through convenience sampling from seven hemodialysis centers in the Republic of Korea. Data were gathered using a structured questionnaire and analyzed with descriptive statistics, Pearson's correlation coefficients, and path analysis, utilizing Statistical Package for the Social Sciences 27 and Amos 23.
View Article and Find Full Text PDFBackground: Maintenance hemodialysis (MHD) is an effective treatment for patients with end-stage renal disease. Although MHD can prolong the survival of patients, their quality of life is lower and the fatality rate is higher. This work analyzed the factors related to the autogenous arteriovenous fistula (AVF)-like expansion of non-diabetic MHD patients by vascular ultrasound (VUS).
View Article and Find Full Text PDFEgypt Heart J
January 2025
Department of Medicine, Western Michigan University, Kalamazoo, WV, USA.
Background: Patients on long-term dialysis for end-stage kidney disease have a high mortality rate, predominantly due to sudden cardiac death (SCD), which is associated with an increased risk of arrhythmias compared to the general population. Thus, the current systematic review and meta-analysis aimed to investigate the incidence of SCD among dialysis patients at risk of arrhythmia.
Methods: This systematic review and meta-analysis followed the PRISMA guidelines.
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