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자료유형
학술저널
저자정보
저널정보
대한내과학회 대한내과학회지 대한내과학회지 제87권 제1호
발행연도
2014.1
수록면
42 - 52 (11page)

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Background/Aims: The vascular calcification (VC) score on a plain X-ray is associated with cardiovascular disease and mortalityin hemodialysis (HD) patients. This study examined the correlations among the VC scores for the hands and pelvis X-rays, arterialstiffness, inflammation, and nutrition in HD patients. Methods: VC was evaluated using plain x-rays of the hands and pelvis. Patients were categorized into the VC (+) (VC score ≥ 3) orVC (-) (VC score < 3) groups. We measured the pulse wave velocity (PWV), ankle brachial index (ABI), and augmentation index(AI). Results: The mean age of the patients was 55.6 ± 13.2 years. The prevalence of diabetes mellitus (DM) was significantly higher inthe VC (+) group than in the VC (-) group (87.5 vs. 34.2%, p < 0.05). The serum PTH (98.4 ± 141.9 vs. 183.6 ± 231.3 pg/mL,p < 0.05) and albumin (3.7 ± 0.5 vs. 3.9 ± 0.3 g/dL, p < 0.05) levels were significantly lower and PWV was significantly (p < 0.05)higher in the VC (+) group. In multiple linear regression analysis, only the presence of diabetes mellitus was significantly related tothe VC score. Conclusions: The VC score was associated with the serum PTH and albumin, as well as with vascular stiffness. C-reactive proteindid not show any significant association with the VC score.

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