Total and individual coronary artery calcium scores as independent predictors of mortality in hemodialysis patients.

摘要: Many traditional and nontraditional risk factors contribute to vascular calcification among maintenance hemodialysis (MHD) patients. It is not clear whether coronary artery (CAC) delineates a higher mortality independent of known factors. We examined 6-year (10/2001–9/2007) survival 166 MHD patients, aged 53 ± 13 years, with baseline CAC scores. Patients were grouped into four groups: 0, 1–100, 101–400, 400+. The 101–400 400+ groups associated significantly adjusted death than 0 hazard ratios (HR) 8.5 (95% CI: 1.1–48.1, p = 0.02) 13.3 1.3–65.1, 0.01), respectively, demographics, comorbidity, lipids other cardiovascular risks, surrogates bone disease, nutritional inflammatory markers dialysis dose. Total [HR 6.7 (1.1–21.5, 0.03)] followed by the presence in left main [4.6 (2.2–9.8, 0.001)] anterior descending [4.3 (2.1–14.2, strong predictors even after adjusting for above covariates. vessel-specific predict patients