Pulmonary artery pressure in association with serum parathormone in maintenance hemodialysis patients
Journal Title: Archives of Medical Science - Year 2006, Vol 2, Issue 1
Abstract
Introduction: There are several potential explanations for the development of PH in patients with stable hemodialysis patients. Hormonal and metabolic derangement associated with end-stage renal failure might lead to pulmonary arterial vasoconstriction and an increase of the pulmonary vascular resistance. The aim of this study was to consider the association of pulmonary artery pressure (PAP) with serum parathormone in end-stage renal disease (ESRD) patients under regular hemodialysis treatment. Material and methods: This cross-sectional study was conducted on patients with end-stage renal disease undergoing maintenance hemodialysis treatment through an arteriovenous fistula which was created on the hand, and with acetate basis dialysate and polysulfone membranes. For all patients serum intact parathormone (iPTH) was measured. For assessment of pulmonary artery pressure, all patients were subjected to two-dimensional and doppler echocardiographic studies that were done for the patients after their hemodialysis sessions. Results: The study comprised 102 patients (F=46, M=56) consisting of 73 non diabetic hemodialysis patients (F=33, M=40), and 29 diabetic hemodialysis patients (F=13, M=16). The duration of hemodialysis was 17.8±29 months. The mean ±SD of serum iPTH of total patients was 338±306 pg/ml. The mean ±SD of pulmonary artery systolic pressure (PAP) was 41.5±12.6 mmHg. A significant positive correlation of PAP with the dosage (r=0.36, p=0.001) and duration of hemodialysis (r=0.35, p
Authors and Affiliations
Hamid Nasri
Keywords
Related Articles
- EP ID EP82354
- DOI -
- Views 245
- Downloads 0
PTSD symptoms of survivors of an airline event in Teheran
Epidural spinal cord stimulation in therapy-resistant angina pectoris – influence on myocardial perfusion or improvement of the quality of life? Pilot study
Metabolic management of diabetic patients with ischaemic heart disease
Changes in plasma susceptibility to lipid peroxidation and vitamin C in preterm and full-term neonates
Gestation in patients with high levels of anticardiolipin antibodies, a history of deep venous thrombosis and miscarriages
The aim is to stress the importance of prophylaxis against deep venous thrombosis in gravidas with high levels of anticardiolipin antibodies with or without a history of repetitive miscarriages. The evolutions of two gra...