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Published on: May 31, 2016
Risk factors for aortic valve calcification in patients on regular hemodialysis
Dejan Petrović1, Radmila Obrenović, Biljana Stojimirović
1Urology and Nephrology Clinic, Kragujevac Clinical Center, Kragujevac - Serbia.
Insights
Hyperphosphatemia, high phosphate levels in the blood, is a significant independent risk factor for aortic valve calcification (AVC) in hemodialysis patients. This finding highlights the importance of managing phosphate levels to prevent cardiovascular complications.
Area of Science:
- Nephrology
- Cardiology
- Biochemistry
Background:
- Aortic valve calcification (AVC) exacerbates aortic valve stenosis and cardiovascular issues.
- Hyperphosphatemia is a primary risk factor for developing AVC.
Purpose of the Study:
- To determine the prevalence of AVC in patients undergoing regular hemodialysis.
- To identify factors influencing the development of AVC.
Main Methods:
- 115 hemodialysis patients were analyzed.
- Evaluated serum levels of albumin, CRP, homocysteine, lipids, calcium, phosphate, parathormone, and Ca x P.
- Echocardiography assessed AVC; logistic regression analyzed risk factors.
Main Results:
- Univariate analysis identified serum phosphate and Ca x P as key AVC risk factors.
- Multivariate analysis confirmed hyperphosphatemia as an independent risk factor for AVC.
Conclusions:
- Hyperphosphatemia is independently associated with aortic valve calcification.
- Managing phosphate levels is crucial for patients on hemodialysis.
Introduction:
Aortic valve calcification (AVC) accelerates development of aortic valve stenosis and cardiovascular complications. Hyperphosphatemia is one of the key risk factors for aortic valve calcification.
Aim:
The aim of this study was to evaluate the prevalence of AVC in patients on regular hemodialysis and to assess the impact of different factors on its appearance.
Method:
The study investigated a total of 115 patients treated in the Hemodialysis Department of the Urology and Nephrology Clinic at the Kragujevac Clinical Center in Serbia. The variables investigated were: serum albumin, C-reactive protein (CRP), homocysteine, total cholesterol, LDL-cholesterol (LDL-C), HDL-cholesterol (HDL-C), triglycerides (TG), Apolipoprotein A-I (Apo A-I), Apolipoprotein B (Apo B) and lipoprotein (a), calcium, phosphate and parathormone, and calcium-phosphorus product (Ca x P). Patients were evaluated by echocardiography for AVC. Statistical analysis included univariate and multivariate logistic regression analysis.
Results:
Univariate regression analysis showed that serum phosphate levels and Ca x P are the most important risk factors for AVC (p<0.001). Multivariate logistic regression analysis revealed that hyperphosphatemia is an independent risk factor for AVC (p<0.001).
Conclusion:
Hyperphosphatemia is an independent risk factor for aortic valve calcification.
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