Aortic Arch Calcification and Bone-Associated Molecules in Peritoneal Dialysis Patients

2019 ◽  
Vol 47 (Suppl. 2) ◽  
pp. 81-87
Author(s):  
Misao Tsukada ◽  
Naoko Miwa ◽  
Norio Hanafusa ◽  
Nobue Tanaka ◽  
Ken Tsuchiya ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Aortic Arch ◽  
Pulse Wave ◽  
Fibroblast Growth Factor 23 ◽  
Fatal Complication ◽  
X Ray ◽  
Plain Chest ◽  
Chest X Ray ◽  
Aortic Arch Calcification

Background/Aims: Aortic arch calcification (AoAC) is a fatal complication in dialysis. AoAC progression-related molecules in continuous ambulatory peritoneal dialysis (CAPD) remain unclear. Methods: AoAC was estimated using plain chest radiography scoring (AoACS) in 30 CAPD patients (age 49.3 ± 13.4 years). AoAC progression was defined as increased AoACS on follow-up chest X-ray at the end of the study (progressors). Fibroblast growth factor-23 and osteoprotegerin (OPG) were measured. Results: Median follow-up was 38.5 months. Progressors were older, had shorter PD vintage, higher body mass index, and higher serum OPG levels (255.6 ± 109.2 pg/mL) than nonprogressors (183.4 ± 68.2 pg/mL; p = 0.0400). Progressors also showed higher pulse pressure (62.4 ± 20.0 mm Hg) and pulse wave velocity (1,909.9 ± 310.6 cm/s) than nonprogressors (48.5 ± 13.6 mm Hg; p = 0.0030 and 1,390.1 ± 252.8 cm/s; p = 0.0005, respectively). Conclusion: AoAC progression was associated with increased aortic stiffness. OPG may be associated with AoAC progression in CAPD.

scholarly journals Effectiveness of Lung Ultrasound in Comparison with Chest X-Ray in Diagnosis of Lung Consolidation

2019 ◽  
Vol 7 (15) ◽  
pp. 2457-2461
Author(s):  
Youssef Ibrahim Haggag ◽  
Karim Mashhour ◽  
Kamal Ahmed ◽  
Nael Samir ◽  
Waheed Radwan
Keyword(s):  
Lung Ultrasound ◽  
Community Acquired Pneumonia ◽  
P Value ◽  
Initial Examination ◽  
X Ray ◽  
Chest Ultrasound ◽  
Lung Consolidation ◽  
Plain Chest ◽  
Chest X Ray

BACKGROUND: Lung ultrasound (US) is an available and inexpensive tool for the diagnosis of community-acquired pneumonia (CAP); it which has no hazards of radiation and can be easily used. AIM: To evaluate the efficacy of lung ultrasound in the diagnosis and follow-up of CAP. PATIENTS AND METHODS: 100 patients aged from 40 to 63 years with a mean age of 52.3 ± 10 years admitted to the Critical Care Department, Cairo University with pictures of CAP. Lung US was performed for all patients initially, then a plain chest X-ray (CXR) was performed. Another lung ultrasound was performed on the 10th day after admission. RESULTS: Initial chest X-ray was correlated with the initial chest ultrasound examination in CAP diagnosis (R-value = 0.629, P < 0.001). Cohen's κ was run to determine if there is an agreement between the findings of the initial chest X-ray findings and those of the initial chest ultrasound in CAP diagnosis. A moderate agreement was found where κ = .567 (95% CI, 0.422 to 0.712) and P < 0.001. Upon initial examination, the CXR diagnosed CAP in 48.0% of patients, while lung US diagnosed the disease in 70% of patients. Moreover, lung US was more sensitive than CXR (P-value < 0.001). Compared to the accuracy of computed tomography (CT) chest (100%) which is the gold standard for CAP diagnosis, the accuracy of lung US was 95.0%, while the accuracy of CXR was 81.0%. CONCLUSION: This study proved the effectiveness of lung ultrasound in CAP diagnosis.

scholarly journals Aortic Arch Calcification Predicts the Renal Function Progression in Patients with Stage 3 to 5 Chronic Kidney Disease

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Lung-Chih Li ◽  
Yueh-Ting Lee ◽  
Yi-Wei Lee ◽  
Chia-An Chou ◽  
Chien-Te Lee
Keyword(s):  
Chronic Kidney Disease ◽  
Renal Function ◽  
Kidney Disease ◽  
Aortic Arch ◽  
Estimated Glomerular Filtration Rate ◽  
X Ray ◽  
Chest X Ray ◽  
Independent Determinant ◽  
Egfr Decline ◽  
Aortic Arch Calcification

Introduction. The presence of aortic arch calcification (AoAC) and cardiomegaly on chest radiography has been demonstrated as important risk factors for cardiovascular mortality in patients with chronic kidney disease (CKD). However, the interrelationship among AoAC, cardiomegaly, and renal function progression remains unclear. The aim of this study is to assess whether AoAC and cardiomegaly are independently associated with the renal function progression in patients with stages 3–5 CKD.Methods. We retrospectively determined AoAC and cardiomegaly by chest X-ray in 237 patients, followed up for at least three years without entering dialysis and classified into 4 groups according to the presence or absence of AoAC and cardiomegaly. The change in renal function was measured by the slope of estimated glomerular filtration rate (eGFR).Results. Of the 237 patients, the rate of eGFR decline was significantly higher in the group with coexistence of AoAC and cardiomegaly than any other groups. Baseline AoAC and proteinuria were independently associated with eGFR decline. AoAC were independently determined by age, eGFR slope, and cardiomegaly.Conclusions. The coexistence of AoAC and cardiomegaly is associated with faster eGFR decline. AoAC is an independent determinant of renal outcomes in patients with CKD stages 3–5.

194 Follow up after lung cancer surgery: plain chest X ray does not increase diagnostic accuracy

Lung Cancer ◽  
2014 ◽  
Vol 83 ◽  
pp. S72 ◽  
Author(s):  
A. Hussain ◽  
M. Khatri ◽  
G. Casali ◽  
T. Batchelor ◽  
D. West
Keyword(s):  
Lung Cancer ◽  
Diagnostic Accuracy ◽  
Lung Cancer Surgery ◽  
Cancer Surgery ◽  
X Ray ◽  
Plain Chest ◽  
Chest X Ray

scholarly journals Relationship between Aortic Arch Calcification, Detected by Chest X-Ray, and Renal Resistive Index in Patients with Hypertension

2018 ◽  
Vol 28 (2) ◽  
pp. 133-140 ◽  
Author(s):  
Adem Adar ◽  
Orhan Onalan ◽  
Hakan Keles ◽  
Fahri Cakan ◽  
Ugur Kokturk
Keyword(s):  
Regression Analysis ◽  
Aortic Arch ◽  
Doppler Ultrasonography ◽  
Linear Regression Analysis ◽  
Resistive Index ◽  
Left Ventricular ◽  
Renal Resistive Index ◽  
X Ray ◽  
Chest X Ray ◽  
Aortic Arch Calcification

Objective: Aortic arch calcification (AAC) is a surrogate marker for arterial stiffness and hypertension-related vascular damage. Renal resistive index (RRI), a renal Doppler ultrasonography parameter, is used to assess renal hemodynamics. In this study, we aimed to evaluate the relationship between RRI and AAC in patients with hypertension. Methods: Patients with hypertension underwent a chest X-ray and re nal Doppler ultrasonography. They were divided into two groups according to RRI (group 1: RRI ≥0.70; group 2: RRI < 0.70). Two examiners, blinded to the findings of RRI, reviewed the AAC in these patients. The kappa value was detected to be 0.781 and a p value < 0.001 was considered significant. Results: The study included 289 hypertensive patients (mean age 63.87 ± 11.38 years). In 53.6% (n = 155) of the study subjects, RRI was observed to be ≥0.70. Patients with RRI ≥70 were older and had more prevalent AAC as well as left ventricular hypertrophy. A multiple linear regression analysis was carried out to test whether presence of AAC significantly predicted RRI. The results of the regression analysis indicated that presence of AAC significantly predicted RRI (β = 0.053; p < 0.001). Conclusions: A strong and independent relationship was found between AAC on chest X-ray and RRI in patients with hypertension.

scholarly journals Validity and Usefulness of Aortic Arch Calcification in Chest X-Ray

2009 ◽  
Vol 16 (3) ◽  
pp. 256-264 ◽  
Author(s):  
Hiroko Hashimoto ◽  
Katsuya Iijima ◽  
Masayoshi Hashimoto ◽  
Bo-Kyung Son ◽  
Hidetaka Ota ◽  
...  
Keyword(s):  
Aortic Arch ◽  
X Ray ◽  
Chest X Ray ◽  
Aortic Arch Calcification
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