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@article{726840,
author = {Špinar, Jindřich and Ludka, Ondřej and Dušek, Ladislav and Vítovcová, Lenka and Sobotová, Dorota and Špinarová, Lenka and Tomandl, Josef and Vítovec, Jiří},
article_location = {Switzerland},
article_number = {5},
keywords = {NT-proBNP; big endothelin; heart failure; renal disease},
language = {eng},
issn = {1420-4096},
journal = {Kidney and Blood Pressure Research},
note = {DOI: 10.1159/000107797},
title = {Neurohumoral activity, heart failure and prognosis in patients with end-stage renal disease treated by hemolysis},
url = {http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowAbstract&ArtikelNr=107797&Ausgabe=233323&ProduktNr=224258},
volume = {30},
year = {2007}
}
TY - JOUR
ID - 726840
AU - Špinar, Jindřich - Ludka, Ondřej - Dušek, Ladislav - Vítovcová, Lenka - Sobotová, Dorota - Špinarová, Lenka - Tomandl, Josef - Vítovec, Jiří
PY - 2007
TI - Neurohumoral activity, heart failure and prognosis in patients with end-stage renal disease treated by hemolysis
JF - Kidney and Blood Pressure Research
VL - 30
IS - 5
SP - 347-357
EP - 347-357
PB - S. Karger AG
SN - 14204096
N1 - DOI: 10.1159/000107797
KW - NT-proBNP
KW - big endothelin
KW - heart failure
KW - renal disease
UR - http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowAbstract&ArtikelNr=107797&Ausgabe=233323&ProduktNr=224258
N2 - Chronic renal failure treated by regular hemodialysis is frequently accompanied by chronic heart failure; the mortality of both is high. Aim: To evaluate the role of markers of neurohumoral activation for the prognosis of patients treated with regular dialysis. Patients: 99 patients with end-stage renal disease were followed up for 3 years. Methods: Clinical evaluation, echocardiography, biochemistry including NT-proBNP and big endothelin (Big-ET). Results: The incidence of heart failure was 97% and the 3-year mortality was 50%. The sensitivity of NT-proBNP and Big-ET level for the prediction of death was 0.712 and 0.824, respectively, and specificity 0.642 and 0.695, respectively. The cut-off points were NT-proBNP 2,000 pg/ml and Big-ET 1.55 pmol/l. Neither NT-proBNP nor Big-ET could be incorporated in the multivariate model for overall survival, which means that although both parameters significantly influenced overall survival as single risk factors, they were not effective in competition with the other significant predictors. Conclusion: Overall survival seems to be influenced namely by age, hemoglobin, left atrium diameter or pulmonary congestion class on chest X-ray, while probability of early risk was associated with Big-ET, history of diabetes mellitus, C-reactive protein, uric acid and hemoglobin. The only intersection of the models is hemoglobin as a thoroughly significant predictor.
ER -
ŠPINAR, Jindřich, Ondřej LUDKA, Ladislav DUŠEK, Lenka VÍTOVCOVÁ, Dorota SOBOTOVÁ, Lenka ŠPINAROVÁ, Josef TOMANDL a Jiří VÍTOVEC. Neurohumoral activity, heart failure and prognosis in patients with end-stage renal disease treated by hemolysis. \textit{Kidney and Blood Pressure Research}. Switzerland: S. Karger AG, roč.~30, č.~5, s.~347-357. ISSN~1420-4096. 2007.
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