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Titolo:
Diagnosis and importance of arteriosclerosis in end-stage renal disease
Autore:
Barenbrock, M; Hausberg, M; Kosch, M; Kisters, K; Rahn, KH;
Indirizzi:
Ambulantes Dialysezentrum, D-59071 Hamm, Germany Ambulantes Dialysezentrum Hamm Germany D-59071 um, D-59071 Hamm, Germany Univ Munster, Med Poliklin, D-4400 Munster, Germany Univ Munster MunsterGermany D-4400 ed Poliklin, D-4400 Munster, Germany
Titolo Testata:
NIEREN-UND HOCHDRUCKKRANKHEITEN
fascicolo: 5, volume: 29, anno: 2000,
pagine: 207 - 211
SICI:
0300-5224(200005)29:5<207:DAIOAI>2.0.ZU;2-8
Fonte:
ISI
Lingua:
GER
Soggetto:
TRANSPLANT RECIPIENTS; WAVE REFLECTIONS; WALL PROPERTIES; CHRONIC UREMIA; FAILURE; ARTERY; ATHEROSCLEROSIS; DISTENSIBILITY; HEMODIALYSIS; THICKNESS;
Keywords:
end-stage renal disease; arteriosclerosis; intima-media-thickening; arterial distensibility; cardiovascular risk;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Barenbrock, M Ambulantes Dialysezentrum, Ludwig Teleky Str 3, D-59071 Hamm, Germany Ambulantes Dialysezentrum Ludwig Teleky Str 3 Hamm Germany D-59071
Citazione:
M. Barenbrock et al., "Diagnosis and importance of arteriosclerosis in end-stage renal disease", NIEREN HOCH, 29(5), 2000, pp. 207-211

Abstract

Alterations of the arterial wall can be frequently observed in patients with end-stage renal disease. Structural vessel wall changes in end-stage renal failure, which are characterized by diffuse intima-media-thickening, accumulation of collagen fibers and degeneration of elastic laminae, are equivalent to premature ageing of the arterial wall. New ultrasound techniques allow to investigate vessel wall properties of large arteries. Intima-media-thickness can be determined by using the high-resolution B-mode ultrasound,elastic vessel wall properties by using multigate Doppler systems. Recent studies have shown that intima-me dia-thickness is significantly increased in patients with end-stage renal failure and is associated with a pronounced reduction of arterial distensibility. Alterations of the elastic vessel wall properties of large arteries are associated with increased systolic andpulse pressure, higher load imposed on the left ventricle and a reduction in subendocardial coronary blood supply during diastole. Recent prospectivestudies demonstrate that reduced arterial compliance in patients with end-stage renal failure is associated with a higher cardiovascular morbidity and mortality.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 20:02:41