Peña-Rodríguez JC

Language: Spanish
References: 11
Page: 513-516
PDF size: 49.50 Kb.

ABSTRACT

Cardiovascular complications are the main cause of death (50%) in patients with chronic renal failure. In this review is analyzed and discussed the traditional a non traditional causes of cardiovascular damage, in patients with chronic renal failure. Some but not all of the factors involved were dissected and analyzed. The hemodynamic factors such as: left ventricular hyperthrophy eccentric and concentric and dilated cardiomyopathy were described. To these hemodynamic factors were added non traditional factors such as: anemia, elevated PTH, alterations in K+, Ca++ and Mg++, serum phosphate above 6mg/dl, increased PCR and cardiac troponine T plasma values, accumulation of asimetric dimethyl arginine (ADMA) a blocker of nitric oxide sinthase and endothelial disfunction. All these factors produced left ventricular hyperthrophy, arterial stiffness, peripheral vascular disease, coronary disease, myocardial infarction, heart failure and in some cases sudden death. It is also summarized the main treatments of the cardiovascular complications.

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