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| ORIGINAL ARTICLE |
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| Year : 2021 |
Volume
: 32 | Issue : 2 | Page
: 336-340 |
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Comparison of changes in pulse wave velocity in patients on peritoneal dialysis and hemodialysis
Sana Barrah1, Rania Elfekih Kheder2, Hela Jebali3, Madiha Krid1, Wided Smaoui1, Soumaya Beji3, Fathi Ben Hmida4, Lilia Ben Fatma3, Mohamed Karim Zouaghi3
1 Department of Nephrology, Dialysis and Transplantation, La Rabta Hospital, Tunis, Tunisia
2 Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
3 Department of Nephrology, Dialysis and Transplantation, La Rabta Hospital; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
4 Research Department Renal Disease Laboratory (LR00SP01), Charles Nicolle Hospital, Tunis, Tunisia
Correspondence Address:
Sana Barrah
Department of Nephrology, Dialysis and Transplantation, La Rabta Hospital, Tunis
Tunisia
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1319-2442.335444
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Cardiovascular disease is the leading cause of death of dialyzed patients. Aortic stiffness, evaluated by the carotid-femoral pulse wave velocity (cfPWV), is now considered as a prognostic factor for cardiovascular mortality in patients with chronic kidney diseases. The peritoneal dialysis (PD) patients had significantly stiffer arteries. cfPWV was 9.12 ± 2.7 m/s in PD patients without significant correlation compared to hemodialysis (HD) patients (8.97 ± 2.52 m/s). In the univariate study, we found a statistically significant correlation between PWV and age (P = 0), between the pulse wave velocity and phosphorus (P = 0.46), between the VOP and PTH (P = 0.013) and between PWV and dyslipidemia (P = 0.014). Other variables such as phospho-calcic product, hemoglobin, total cholesterol, and KT/V were not significant. To identify the risk factors independently linked to the event, we conducted a multi-varied analysis. A correlation was found between VOP and dyslipidemia (P = 0.008). The other variables were insignificant.
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