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2015 ; 35
(4
): 379-87
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
ISPD Cardiovascular and Metabolic Guidelines in Adult Peritoneal Dialysis
Patients Part I - Assessment and Management of Various Cardiovascular Risk
Factors
#MMPMID26228782
Wang AY
; Brimble KS
; Brunier G
; Holt SG
; Jha V
; Johnson DW
; Kang SW
; Kooman JP
; Lambie M
; McIntyre C
; Mehrotra R
; Pecoits-Filho R
Perit Dial Int
2015[Jul]; 35
(4
): 379-87
PMID26228782
show ga
Cardiovascular disease contributes significantly to the adverse clinical outcomes
of peritoneal dialysis (PD) patients. Numerous cardiovascular risk factors play
important roles in the development of various cardiovascular complications. Of
these, loss of residual renal function is regarded as one of the key
cardiovascular risk factors and is associated with an increased mortality and
cardiovascular death. It is also recognized that PD solutions may incur
significant adverse metabolic effects in PD patients. The International Society
for Peritoneal Dialysis (ISPD) commissioned a global workgroup in 2012 to
formulate a series of recommendations regarding lifestyle modification,
assessment and management of various cardiovascular risk factors, as well as
management of the various cardiovascular complications including coronary artery
disease, heart failure, arrhythmia (specifically atrial fibrillation),
cerebrovascular disease, peripheral arterial disease and sudden cardiac death, to
be published in 2 guideline documents. This publication forms the first part of
the guideline documents and includes recommendations on assessment and management
of various cardiovascular risk factors. The documents are intended to serve as a
global clinical practice guideline for clinicians who look after PD patients. The
ISPD workgroup also identifies areas where evidence is lacking and further
research is needed.