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10.1159/000095853

http://scihub22266oqcxt.onion/10.1159/000095853
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17003569!ä!17003569

suck abstract from ncbi


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pmid17003569      Nephron+Clin+Pract 2006 ; 104 (4): c176-84
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  • Blockade of renin-angiotensin system reduces QT dispersion and improves intracellular Ca/Mg status in hemodialysis patients #MMPMID17003569
  • Averbukh Z; Berman S; Efrati S; Manevits E; Rosenberg R; Malcev E; Galperin E; Weissgarten J
  • Nephron Clin Pract 2006[]; 104 (4): c176-84 PMID17003569show ga
  • BACKGROUND: Electrolyte impairments are common in hemodialysis (HD) patients. Consequently, QT dispersion (QTd) is prolonged, correlating with high intracellular magnesium. In patients with cardiac disorders, renin-angiotensin system (RAS) inhibition reduces QTd. AIM: To compare the effects of ACE inhibition or AT-1 blockade on QTd duration and intracellular magnesium (Mg)/calcium (Ca) in peripheral blood mononuclear cells (PBMC) from chronic HD patients. METHODS: 24 HD patients received cilazapril for 8 weeks and, following a 2-week withdrawal, were switched to valsartan for additional 8 weeks. QTd measurements and PBMC isolation were performed at the beginning and the end of each period. Total intracellular Ca and Mg were assessed by atomic spectrometer, and cytosolic free Ca2+ by fluorocytometer. RESULTS: Both treatments significantly decreased QTd, demonstrating similar reduction magnitudes. In both groups, PBMC exhibited basally low cytosolic Ca2+ and undisturbed high transmembrane Ca2+ influx following phytohemagglutinin stimulation. Total intracellular Ca was increased, while Mg was reduced, following either treatment. The total intracellular Ca/Mg ratio inversely correlated with QTd duration. CONCLUSIONS: (1) RAS inhibition reduces prolonged QTd in HD patients. (2) In PBMC from ordinarily Ca-depleted HD patients, RAS suppression brings about elevation of total intracellular Ca. (3) RAS blockade decreases high intracellular Mg in PBMC from HD patients. Consequently, the Ca/Mg ratio increases, inversely correlating with QTd reduction.
  • |*Renal Dialysis[MESH]
  • |Aged[MESH]
  • |Angiotensin II Type 1 Receptor Blockers/administration & dosage[MESH]
  • |Angiotensin-Converting Enzyme Inhibitors/administration & dosage[MESH]
  • |Calcium/*metabolism[MESH]
  • |Cilazapril/*administration & dosage[MESH]
  • |Female[MESH]
  • |Heart Rate/*drug effects[MESH]
  • |Humans[MESH]
  • |In Vitro Techniques[MESH]
  • |Kidney Failure, Chronic/*metabolism/therapy[MESH]
  • |Magnesium/*metabolism[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Renin-Angiotensin System/*drug effects[MESH]
  • |Tetrazoles/*administration & dosage[MESH]
  • |Valine/administration & dosage/*analogs & derivatives[MESH]


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