[Dyslipidemia in uremic patients at the National Hospital of Donka-Conakry]
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Published on: November 10, 2017
Insights
Dyslipidemia is common in chronic renal failure (CRF) patients. This study found high prevalence of lipid abnormalities and cardiovascular risk factors in non-dialyzed and dialyzed CRF patients.
Area of Science:
- Nephrology
- Cardiology
- Clinical Biochemistry
Context:
- Patients with chronic renal failure (CRF) exhibit higher dyslipidemia prevalence than the general population.
- Advanced CRF, defined as creatinine clearance < 30 ml/mn, and hemodialysis patients were included.
- Cardiovascular disease is a significant concern in patients with kidney disease.
Purpose:
- To determine the prevalence of dyslipidemia and lipid anomalies in uremic patients.
- To evaluate associated cardiovascular risk factors in this population.
- To compare lipid profiles and risk factors between dialyzed and non-dialyzed CRF patients.
Summary:
- The study included 60 patients with advanced CRF. Lipid disturbances were observed in 56% of dialyzed and 70% of non-dialyzed patients.
- Hypertriglyceridemia was the most common anomaly, followed by mixed hyperlipidemia and low HDL cholesterol.
- Associated cardiovascular risk factors included hypertension (noted in 9 dialyzed and 20 non-dialyzed patients) and diabetes (observed in 1 and 3 patients, respectively). Smoking was also prevalent.
Impact:
- Findings highlight the high burden of dyslipidemia and cardiovascular risk in CRF patients.
- The study underscores the need for proactive management of lipid profiles and cardiovascular risk factors in this vulnerable population.
- Results can inform clinical guidelines and patient care strategies for managing CRF patients.
Abstract:
The prevalence of the dyslipidemia is higher at the patients in chronic renal failure (CRF) than in the general population. The objective of this study was to determine the prevalence and the lipidic anomalies among uraemic patients and to evaluate the others associated factors of cardiovascular risk. The study was descriptive with prospective recruitment (November 2004-June 2005); concerned 60 patients having an advanced chronic renal failure whose calculated clearance of creatinin was lower than 30 ml/mn as well as the hemodialysed patients. The lipidic disturbances on the whole 9/16 dialysed (56%) and 31 uraermia /44 were not dialysed (70%). This majority triglyceride dyslipidemia comprised 8 cases of hypertriglyceridemia in the group of dialysed patients against 19 in the group of not dialysed; 1 case of mixed hyperlipidemia against 6 cases and 4 cases of hypercholesterolemia HDL in the non dialysed group with 1 case of HDL low cholesterol. The patients with dyslipidemia were 4 females (25%) and 5 males (31%) among dialysed group; and of 13 female (29%) and 18 male (41%) among not dialysed. The average age was of 54.3 +/- 0.7 years for dialysed against the 46.6 +/- 0.2 years for the dyslipidémia in the non dialysed. Among others factors of cardiovascular risk, the arterial high blood pressure was noted at 9 dialysed patient's dyslipidémia and 20 case / 31 to the not dialysed dyslipidémia; and the diabetes was observed in 1 and 3 cases respectively. The addiction to smoking was noted in both groups except at the dialysis patients not dyalipidémiques.
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