دورية أكاديمية

Carotid plaque thickness is increased in chronic kidney disease and associated with carotid and coronary calcification

التفاصيل البيبلوغرافية
العنوان: Carotid plaque thickness is increased in chronic kidney disease and associated with carotid and coronary calcification
المؤلفون: Bjergfelt, Sasha S., Sørensen, Ida M. H., Hjortkjær, Henrik Ø., Landler, Nino, Ballegaard, Ellen L. F., Biering-Sørensen, Tor, Kofoed, Klaus F., Lange, Theis, Feldt-Rasmussen, Bo, Sillesen, Henrik, Christoffersen, Christina, Bro, Susanne
المساهمون: Jandeleit-Dahm, Karin, Augustinus Fonden, Rigshospitalets Forskningspulje
المصدر: PLOS ONE ; volume 16, issue 11, page e0260417 ; ISSN 1932-6203
بيانات النشر: Public Library of Science (PLoS)
سنة النشر: 2021
المجموعة: PLOS Publications (via CrossRef)
الوصف: Background Chronic kidney disease accelerates both atherosclerosis and arterial calcification. The aim of the present study was to explore whether maximal carotid plaque thickness (cPTmax) was increased in patients with chronic kidney disease compared to controls and associated with cardiovascular disease and severity of calcification in the carotid and coronary arteries. Methods The study group consisted of 200 patients with chronic kidney disease stage 3 from the Copenhagen Chronic Kidney Disease Cohort and 121 age- and sex-matched controls. cPTmax was assessed by ultrasound and arterial calcification by computed tomography scanning. Results Carotid plaques were present in 58% of patients (n = 115) compared with 40% of controls (n = 48), p = 0.002. Among participants with plaques, cPTmax (median, interquartile range) was significantly higher in patients compared with controls (1.9 (1.4–2.3) versus 1.5 (1.2–1.8) mm), p = 0.001. Cardiovascular disease was present in 9% of patients without plaques (n = 85), 23% of patients with cPTmax 1.0–1.9 mm (n = 69) and 35% of patients with cPTmax >1.9 mm (n = 46), p = 0.001. Carotid and coronary calcium scores >400 were present in 0% and 4%, respectively, of patients with no carotid plaques, in 19% and 24% of patients with cPTmax 1.0–1.9 mm, and in 48% and 53% of patients with cPTmax >1.9 mm, p <0.001. Conclusions This is the first study showing that cPTmax is increased in patients with chronic kidney disease stage 3 compared to controls and closely associated with prevalent cardiovascular disease and severity of calcification in both the carotid and coronary arteries.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1371/journal.pone.0260417
الإتاحة: https://doi.org/10.1371/journal.pone.0260417Test
حقوق: http://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.E64FB1
قاعدة البيانات: BASE