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Wanic-Kossowska M.,Katedra i Klinika Nefrologii | Pawliczak E.,Oddzial Nefrologiczny Szpitala Wojewodzkiego | Popowska-Drojecka J.,Katedra I Klinika Hipertensjologii | Tykarski A.,Klinika I Katedra Nefrologii
Nadcisnienie Tetnicze | Year: 2013

Background Coronary heart disease is present in 70% hemodialysed patients and it is the main cause of sudden death. The aim of the study was the assessement the changes in coronary arteries and answer if risk factors: left ventricular hypertrophy, hypertension and lipid disturbances have the relations with development of CVD. Material and methods In 37 hemodialysed patients coronarography, echocardiography, 24-hour blood pressure monitoring, laboratory analysis and serum level of nitric oxide were assessed. The patients were devided for 3 subgroups: in 7 were no changes in coronary arteries, in 12 coronary arteries were occluded, in 17 occluded and calcified. Results In all patients left ventricular hypertrophy was present and its systolic-diastolic dysfunction. Hypertension was present in 30 patients. It was no differences in blood pressure in 3 subgroups. Conclusions The relations between coronary artery changes and echocardiographic parameters and serum level of nitric acid, between echoradiographic parameters and serum level of cholesterol, time of dialysis therapy, patients age, blood pressure could confirm that this risk factors for cardiovascular events play also a role for development ischemic heart disease. Copyright © 2013 Via Medica.


Wanic-Kossowska M.,Klinika I Katedra Nefrologii | Pawliczak E.,Klinika I Katedra Nefrologii | Tykarski A.,Klinika Nadcisnienia Tetniczego
Nadcisnienie Tetnicze | Year: 2013

In this paper we present the knowledge about etiology, symptoms and clinical importance of vascular changes in chronic renal failure patients undergoing hemodialysis therapy. The results of clinical studies indicate that artherosclerosis as well as arterial calcifications associated with excess mortality in hemodialysis patients. Copyright © 2013 Via Medica.

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