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Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
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Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
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Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
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Assessment of Vascular Function in Patients With Chronic Kidney Disease
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在ADPKD中心血管并发症

Niloufar Ebrahimi1, Yasar Caliskan2, Pranav S Garimella3

  • 1Department of Medicine, Division of Nephrology, Loma Linda University Medical Center, Loma Linda, California, USA.

Kidney international reports
|September 22, 2025
PubMed
概括

自体主导多囊性病 (ADPKD) 显著增加心血管疾病的风险,这是死亡的主要原因. 这些心血管问题的早期发现和管理对于改善患者的治疗结果至关重要.

关键词:
自体主导多囊性脏疾病心血管并发症的心血管并发症这种高血压,高血压.左心室缩症是指左心室缩症.膜异常 膜异常

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科学领域:

  • 腎臟病學 (nephrology) 是一種醫學專業.
  • 心脏病学 心脏病学
  • 遗传学 是一个遗传学.

背景情况:

  • 自体主导多囊性病 (ADPKD) 是一种常见的遗传性病.
  • 心血管疾病是ADPKD患者死亡的主要原因.
  • ADPKD涉及外表现,尤其是心血管并发症.

研究的目的:

  • 审查ADPKD中的心血管并发症.
  • 强调早期发现心血管症状的重要性.
  • 为患有心血管疾病的ADPKD患者提供管理策略的概述.

主要方法:

  • 在ADPKD中对心血管表现的文献综述.
  • 分析ADPKD遗传与心血管疾病之间的相互作用.
  • 探索早期和晚期发作的心血管并发症.

主要成果:

  • 高血压,左心室缩,腹功能障碍,膜异常,大动脉动脉瘤和心周输液是常见的.
  • 心血管疾病的表现可能是由于遗传因素而早期发生,或是随着慢性病的进展而晚些时候发生.
  • 在ADPKD中,高血压涉及多囊素功能障碍,信号干扰和RAAS激活.

结论:

  • 心血管并发症是ADPKD的一个重要问题.
  • 早期发现和量身定制的管理对于改善结果至关重要.
  • 了解ADPKD中心血管疾病的驱动机制是有效治疗的关键.