Major and minor risk factors for cardiovascular disease in continuous ambulatory peritoneal dialysis patients.
Uremia in general and peritoneal dialysis in particular bring with them risk factors for the development of cardiovascular disease. These factors include multiple lipid abnormalities, hyperhomocysteinemia, abdominal obesity, chronic inflammation, hypoalbuminemia, oxidative stress, and AGE formation. When these are combined with conventional risk factors, one can appreciate why the incidence of cardiovascular disease is so high in peritoneal dialysis patients. Treatment strategies should address each of these risks appropriately.
Department of Medicine, McGill University Health Centre, Royal Victoria Hospital, Montreal, Québec, Canada.
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D001161:Arteriosclerosis / Q000209:etiology; D002318:Cardiovascular Diseases / Q000209:etiology*; D006801:Humans; D020138:Hyperhomocysteinemia / Q000209:etiology; D006949:Hyperlipidemias / Q000209:etiology; D007676:Kidney Failure, Chronic / Q000150:complications; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D012307:Risk Factors