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Association between arterial stiffness and peritoneal fluid kinetics.

Association between arterial stiffness and peritoneal fluid kinetics. Research Abstract Details 

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  • Association between arterial stiffness and peritoneal fluid kinetics. Abstract Text:

    xing-wei zheXing-wei Zhe,xin-kui tianXin-kui Tian,wei chenWei Chen,li-juan guoLi-juan Guo,yue guYue Gu,hui-min chenHui-min Chen,li-jun tangLi-jun Tang,tao wangTao Wang,xing-wei zheXing-wei Zhe,xin-kui tianXin-kui Tian,wei chenWei Chen,li-juan guoLi-juan Guo,yue guYue Gu,hui-min chenHui-min Chen,li-jun tangLi-jun Tang,tao wangTao Wang,

    BACKGROUND: A high peritoneal transport status in continuous ambulatory peritoneal dialysis (CAPD) patients is associated with a markedly increased morbidity and mortality. While the causes are as yet unknown, overall the proportion of deaths due to cardiovascular disease is estimated at 40-50% among dialysis patients. Arterial stiffness has been established as a cardiovascular risk factor, while the links between peritoneal transport status and aortic stiffness have not yet been investigated. METHODS: We included 65 prevalent CAPD patients (24 males/41 females) from our center in a cross-sectional study. Arterial stiffness was assessed by brachial pulse pressure (PP) and carotid-femoral pulse wave velocity (C-F PWV). The patients' peritoneal fluid transport was assessed by kinetic modeling. The patients' peritoneal small solute transport rate was assessed by D/P(cr) at 4 h. Extracellular water to total body water (E/T) ratio was assessed by means of bioimpedance analysis. C-reactive protein was also measured. RESULTS: C-F PWV was positively correlated with patients' age (r = 0.489, p < 0.01), diabetic status (r = 0.327, p < 0.01), peritoneal fluid absorption rate (Ke; r = 0.251, p < 0.05), PP (r = 0.483, p < 0.01), and E/T (r = 0.517, p < 0.01). Multivariate regression analysis showed that C-F PWV was independently related to E/T (p < 0.01), PP (p < 0.01), age (p < 0.05), and Ke (p < 0.05). CONCLUSION: Peritoneal fluid transport (Ke), as well as E/T, age and PP were found to be independent predictors of elevated C-F PWV in CAPD patients, suggesting that there might be a link between high aortic stiffness and increased Ke rate, hypothetically through generalized vasculopathy.

    Association between arterial stiffness and peritoneal fluid kinetics. Publishing Authors By Initials

    xw zheXW Zhe,xk tianXK Tian,w chenW Chen,lj guoLJ Guo,y guY Gu,hm chenHM Chen,lj tangLJ Tang,t wangT Wang,xw zheXW Zhe,xk tianXK Tian,w chenW Chen,lj guoLJ Guo,y guY Gu,hm chenHM Chen,lj tangLJ Tang,t wangT Wang,

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    PUBMED ID PMID:

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    Association between arterial stiffness and peritoneal fluid kinetics. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: American journal of nephrology

    VOLUME: 28

    Page Numbers: 128-32

    Journal Abbreviation: Am. J. Nephrol.

    ISSN: 1421-9670

    DAY: 17

    MONTH: 10

    YEAR: 2007

    Association between arterial stiffness and peritoneal fluid kinetics. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 8109361

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    Grant and Affiliation Information for Association between arterial stiffness and peritoneal fluid kinetics.

    AFFILIATION: Division of Nephrology, Peking University Third Hospital, Beijing, China.

    Country: Switzerland

    Switzerland Research PublicationSwitzerland Research Publication

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    MEDLINETA: Am J Nephrol

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