The effect of renin-angiotensin system inhibitors on intact parathyroid hormone levels in peritoneal dialysis patients.
J Renin Angiotensin Aldosterone Syst
; 16(4): 1260-5, 2015 Dec.
Article
em En
| MEDLINE
| ID: mdl-25271253
ABSTRACT
HYPOTHESIS/INTRODUCTION:
The objective of this article is to investigate the effect of renin-angiotensin system inhibitors (RASIs) on intact parathyroid hormone (iPTH) levels in continuous ambulatory peritoneal dialysis (CAPD) patients. MATERIALS ANDMETHODS:
All patients were divided into RASI-treated and non-treated groups. The relationships between the iPTH levels in CAPD patients and the clinical parameters and medication use were analyzed via linear regression.RESULTS:
A total of 149 CAPD patients were included in this study. The average iPTH level of the entire group was 189.4 pg/ml (range, 102.8-373.4 pg/ml). There were 79 (53.0%) and 70 (47.0%) cases in the RASI-treated and non-treated groups, respectively, with average iPTH levels of 139.0 pg/ml (range, 91.6-258.4 pg/ml) and 253.0 pg/ml (range, 134.3-467.2 pg/ml), respectively; this difference was statistically significant (p = 0.001). Multilinear regression analysis showed that age, dialysis vintage, serum phosphatemia, ALP, Hb and RASI use were independent factors that were associated with iPTH level.CONCLUSION:
RASI use may be associated with a lower iPTH level in CAPD patients, although the underlying mechanism requires further study.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hormônio Paratireóideo
/
Sistema Renina-Angiotensina
/
Diálise Peritoneal
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
J Renin Angiotensin Aldosterone Syst
Ano de publicação:
2015
Tipo de documento:
Article