Conclusion: C.E.R.A. was useful for renal anemia treatment. Hb variability of C.E.R.A. and its effect for prognosis was similar with that of epoetin beta. CHOI SU JIN, KIM YOUNG SOO, YOON SUN AE, KIM YOUNG OK Uijeongbu St. Mary’s Hospital Introduction: We have reported that arterial micro-calcification (AMC) of vascular access has a negative impact on access patency and cardiovascular
mortality in hemodialysis (HD) patients. Reasons behind increased cardiovascular mortality in AMC are not fully understood, but it is believed that aortic stiffness is a major contributing factor. Whereas, coronary artery calcification (CAC) is quite common in HD patients and it is known as predictor of future cardiovascular events and all cause
mortality in HD patients. The aim of this study was to explore the relationship between AMC and CAC in HD patients. Methods: We KU-57788 cost have reported check details that arterial micro-calcification (AMC) of vascular access has a negative impact on access patency and cardiovascular mortality in hemodialysis (HD) patients. Reasons behind increased cardiovascular mortality in AMC are not fully understood, but it is believed that aortic stiffness is a major contributing factor. Whereas, coronary artery calcification (CAC) is quite common in HD patients and it is known as predictor of future cardiovascular events and all cause mortality in HD patients. The aim of this study was to explore the relationship between AMC and CAC in HD patients. Results: Mean age was 65.8 ± 12.5 years and the male gender was 37 (57.8%). The incidence of AMC was 62.5% (n = 40). The mean CACS was 439.3 ± 901.1 (0–5674.1), and the median value was 128.4. Patients with the positive AMC group showed a significantly older age (68.6 ± 10.2 vs 61.2 ± 14.7, p = 0.036) and a higher prevalence of diabetes (85.0% vs 45.8%, p = 0.001). Positive AMC group showed high incidence of high CACS compared to negative AMC group (77.5% vs 20.8%, p = 0.000). By binary logistic regression, high CACS was independently associated with positive AMC (OR 8.894, 95% CI 1.174–46.154, p = 0.008). Conclusion: The
present study suggests that AMC is closely associated with CACS in HD patients. IO HIROAKI, SDHB NAKATA JUNICHIRO, AOKI TATSUYA, KANDA REO, YANAGAWA HIROYUKI, WAKABAYASHI KEIICHI, TOMINO YASUHIKO Division of Nephrology, Department of Internal Medicine, Juntendo University Faculty of Medicine Introduction: In hemodialysis (HD) patients, the relationship between left ventricular hypertrophy (LVH) and weekly blood pressure (BP) is still unclear. The objectives of the present study are 1) to evaluate when or how BP should be monitored and 2) to evaluate whether echocardiographic parameters are independently associated with increased CV events in HD patients. Methods: This longitudinal study consecutively enrolled 130 HD patients.