scholarly journals Vitamin D Deficiency in End Stage Renal Disease Patients with Diabetes Mellitus Undergoing Hemodialysis

Cureus ◽  
2020 ◽  
Author(s):  
Muhammad Ali ◽  
Ayesha Ejaz ◽  
Shafique A Solangi ◽  
Abdul Manan Junejo ◽  
Mahjabeen Yaseen ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Vitamin D ◽  
Renal Disease ◽  
Vitamin D Deficiency ◽  
End Stage Renal Disease ◽  
Patients With Diabetes ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Vitamin D deficiency is associated with mortality and adverse vascular access outcomes in patients with end-stage renal disease

2014 ◽  
Vol 60 (1) ◽  
pp. 176-183 ◽  
Author(s):  
Joy P. Walker ◽  
Jade S. Hiramoto ◽  
Warren J. Gasper ◽  
Philip Auyang ◽  
Michael S. Conte ◽  
...  
Keyword(s):  
Vitamin D ◽  
Renal Disease ◽  
Vitamin D Deficiency ◽  
Vascular Access ◽  
End Stage Renal Disease ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals An optical coherence tomography comparison of coronary arterial plaque calcification in patients with end-stage renal disease and diabetes mellitus

2020 ◽  
Vol 17 (5) ◽  
pp. 147916412095842
Author(s):  
Joseph R Weber ◽  
Brendan Martin ◽  
Nicholas Kassis ◽  
Kunal Shah ◽  
Tomas Kovarnik ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Coronary Calcification ◽  
Arterial Plaque ◽  
Initiation Of Dialysis ◽  
Patients With Diabetes ◽  
Calcium Deposits ◽  
Stage Renal Disease ◽  
End Stage

Background: Coronary arterial plaques in patients with end-stage renal disease (ESRD) are assumed to have increased calcification due to underlying renal disease or initiation of dialysis. This relationship may be confounded by comorbid type 2 diabetes mellitus (DM). Methods: From a single-center OCT registry, 60 patients were analyzed. Twenty patients with ESRD and diabetes (ESRD-DM) were compared to 2 groups of non-ESRD patients: 20 with and 20 without diabetes. In each patient, one 20 mm segment within the culprit vessel was analyzed. Results: ESRD-DM patients exhibited similar calcium burden, arc, and area compared to patients with diabetes alone. When compared to patients without diabetes, patients with diabetes exhibited a greater summed area of calcium (DM: Median 9.0, IQR [5.3–28] mm2 vs Non-DM: 3.5 [0.1–14] mm2, p = 0.04) and larger calcium deposits by arc (DM: Mean 45 ± SE 6.2° vs Non-DM: 21 ± 6.2°, p = 0.01) and area (DM: 0.58 ± 0.10 mm2 vs Non-DM: 0.26 ± 0.10 mm2, p = 0.03). Calcification deposits in ESRD-DM patients (0.14 ± 0.02 mm) and patients with diabetes (0.14 ± 0.02 mm) were more superficially located relative to patients without diabetes (0.21 ± 0.02 mm), p = 0.01 for both. Conclusions: Coronary calcification in DM and ESRD-DM groups exhibited similar burden, deposit size, and depth within the arterial wall. The increase in coronary calcification and cardiovascular disease events seen in ESRD-DM patients may not be secondary to ESRD and dialysis, but instead due to a combination of declining renal function and diabetes.

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