Naslov
Rizični čimbenici za nastanak moždanog udara u pacijenata s kroničnom bubrežnom bolesti
(Risk factors for stroke in the patients with chronic kidney disease)

Autori
Kes, P ; Basić-Kes, V ; Basić-Jukić, N ; Jurić, I

Izvornik
Acta medica Croatica. Supplement (1331-1638) 65 (2011), Supplement3; 67-77

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, pregledni rad, stručni

Ključne riječi
moždani udar; rizični čimbenici; kronična bubrežna bolest
(stroke; risk factors; chronic kidney disease)

Sažetak
Patients with chronic kidney disease (CKD) and specially end-stage renal disease (ESRD) have markedly advanced vascular disease when compared to the general population. In particular, several authors have reported more severe atherosclerotic disease of the carotid arteries among ESRD patients than in subjects with normal renal function. This accelerated disease of the cerebral vasculature could increase the risk of ischemic stroke in these patients. Additionally, ESRD is associated with hypertension, a bleeding diathesis, and the routine administration of heparin during hemodialysis, which could increase the risk of hemorrhagic stroke. Dialytic support, including both hemodialysis (HD) and peritoneal dialysis, have been shown to be risk factors for stroke. No studies have assessed stroke risk in renal transplant recipients. Although there are some epidemiologic data for stroke in patients with CKD, there are fewer data for stroke treatment in patients with CKD. In primary and secondary prevention of stroke even in the CKD patients, it has been well established that improved outcomes occur by correcting reversible risk factors, including treating hypertension, secondary hyperparathyroidisam, anemia, dyslipidemia, coagulation abnormalities, malnutrition, inflammation, controlling diabetes, and cardiac disease.

Izvorni jezik
Hrvatski

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