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Phosphate overload accelerates vascular aging in uremic patients

Published Online: July 25th 2018 Heart International 2006;2(1):6-11
Authors: Mario Cozzolino, Maurizio Gallieni, Andrea Galassi, Claudia Brambilla, Diego Brancaccio
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Overview

Vascular calcification is a very common event in patients affected by diabetes and chronic kidney disease (CKD). Recently, it has been well documented that abnormalities in mineral and bone metabolism in CKD patients are associated with increased morbidity and mortality. Elevated serum phosphate and calcium-phosphate product levels play an important role in the pathogenesis of vascular mineralization in uremic patients and also appear to be associated with increased cardiovascular mortality. Together with classical passive precipitation of calciumphosphate in soft tissues, during the last decade it has been demonstrated that inorganic phosphate may cause extraskeletal calcification directly through a real “ossification” of the tunica media in the vasculature of CKD patients. Therefore, control of phosphate retention is now an even more crucial target of treatment in patients affected by chronic kidney disease. (Heart International 2006; 2: 6-11)

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Vascular calcification, Phosphate, Chronic kidney disease

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Mario Cozzolino, MD, Renal Unit, Ospedale San Paolo, Azienda Ospedale San Paolo, Via A. di Rudinì, 8, 20142 Milano – Italy, mariocozzolino@hotmail.com

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European Journal of Arrhythmia & Electrophysiology. 2021;7(Suppl. 1):abstr43

Introduction: Cardiac tamponade is a high morbidity complication of transseptal puncture (TSP). We examined the incidence and predictors of TSP-related cardiac tamponade (TRCT) for all patients undergoing left atrial ablation at our centre from 2016-2020. Methods: Patient and procedural variables were extracted retrospectively. Cases of cardiac tamponade were scrutinised to adjudicate TSP culpability. Adjusted multivariate […]

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