دورية أكاديمية

The Relationship between Cardiac Valve Calcification and Abdominal Aortic Calcification in Peritoneal Dialysis Patients.

التفاصيل البيبلوغرافية
العنوان: The Relationship between Cardiac Valve Calcification and Abdominal Aortic Calcification in Peritoneal Dialysis Patients.
المؤلفون: Seferi, Saimir1 saimir_s@hotmail.com, Rroji, Merita1, Likaj, Eriola1, Cafka, Majlinda2, Spahia, Nereida1, Barbullushi, Myftar1, Thereska, Nestor1
المصدر: BANTAO Journal. 2012, Vol. 10 Issue 1, p38-40. 3p.
مصطلحات موضوعية: *HEART valves, *HEART, *CALCIFICATION, *BIOMINERALIZATION, *ABDOMINAL aorta
مستخلص: Introduction. Vascular and valvular calcifications are important and prevalent complications in ESRD patients including those receiving PD therapy. The aim of this study was to evaluate the relationship of aortic and mitral valve calcification with abdominal aortic calcification in CAPD patients. Methods. We studied 38 stable patients (58.8 % males; mean age 55.5±13.6 years; 23.6% diabetics and average duration of dialysis 28.36±16.97 months) treated with CAPD for more than 6 months. Calcification of the aortic and mitral valves assessed by echocardiography was graded as 0-2 for absence or presence of calcification. Plain X-ray images of lateral lumbar spine from all subjects with abdomen empty from dialysis fluid were studied for calculation of semiquantitative vascular calcification scores as described by Kauppila (range 0-24). Results. Calcification of the mitral valve was present in 14 patients (36.8%) and calcification of the aortic valve in 11 patients (28.9%). 8 patients had calcification of the both valves and 17 (44.7%) had a valve calcification (Vc) score ≥1. Kauppila scores revealed 21 patients (55.2%) with abdominal aortic calcifications (AAC) and 14 patients (36.8%) with scores higher than 7. The mean AAC score of the study population was 5.03±3.85. We found that AAC score increased significantly in patients with Vc score ≥1 comparing with patients without valve calcification Vc score=0 (P<0.001). To study further this association we excluded from analysis patients with AAC score=0, and we found that Vc score increased significantly in patients with AAC score ≥7 comparing with those with AAC score 1-6 (P<0.001). Conclusions. Our study demonstrates that CV calcifications are highly prevalent in CAPD patients and cardiac valve calcifications are strongly associated with abdominal aortic calcification these patients. [ABSTRACT FROM AUTHOR]
قاعدة البيانات: Academic Search Index