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雑誌文献

循環器ジャーナル67巻4号

2019年10月発行

文献概要

特集 冠動脈疾患のリスク管理のフロントライン Ⅱ.冠動脈疾患リスクファクターをどう管理する?

慢性腎臓病(CKD)はどう治療する?

著者: 瀬田公一1 笠原正登2

所属機関: 1国立病院機構京都医療センター腎臓内科 2奈良県立医科大学附属病院臨床研究センター

ページ範囲:P.636 - P.643

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・慢性腎臓病(chronic kidney disease;CKD)に特有の冠動脈疾患リスクとして,CKD-mineral and bone disorder(CKD-MBD)と腎性貧血が挙げられる.
・CKDが進行すると代謝性アシドーシスを来す.代謝性アシドーシスの補正は,腎機能悪化を遅らせる.
・CKDだからという理由で冠動脈造影検査やカテーテル治療をためらうべきではない.

参考文献

1) 日本腎臓学会:CKD診療ガイド2012.東京医学社,2012
2) Kobayashi S, Oka M, Maesato K, et al:Coronary artery calcification, ADMA, and insulin resistance in CKD patients. Clin J Am Soc Nephrol 3:1289-1295, 2008
3) Górriz JL, Molina P, Cerverón MJ, et al:Vascular calcification in patients with nondialysis CKD over 3 years. Clin J Am Soc Nephrol 10:654-666, 2015
4) Russo D, Corrao S, Battaglia Y, et al:Progression of coronary artery calcification and cardiac events in patients with chronic renal disease not receiving dialysis. Kidney Int 80:112-118, 2011
5) Nakamura S, Ishibashi-Ueda H, Niizuma S, et al:Coronary calcification in patients with chronic kidney disease and coronary artery disease. Clin J Am Soc Nephrol 4:1892-1900, 2009
6) 日本透析医学会:慢性腎臓病に伴う骨・ミネラル代謝異常の診療ガイドライン.日本透析医学会雑誌45:301-356, 2012
7) Adeney KL, Siscovick DS, Ix JH, et al:Association of serum phosphate with vascular and valvular calcification in moderate CKD. J Am Soc Nephrol 20:381-387, 2009
8) Kestenbaum B, Sampson JN, Rudser KD, et al:Serum phosphate levels and mortality risk among people with chronic kidney disease. J Am Soc Nephrol 16:520-528, 2005
9) Erratum:Kidney Disease:Improving Global Outcomes(KDIGO)CKD-MBD Update Work Group:KDIGO 2017 Clinical Practice Guideline Update for the Diagnosis, Evaluation, Prevention, and Treatment of Chronic Kidney Disease-Mineral and Bone Disorder(CKD-MBD). Kidney Int Suppl 7:1-59, 2017
10) Thadhani R, Appelbaum E, Pritchett Y, et al:Vitamin D therapy and cardiac structure and function in patients with chronic kidney disease:the PRIMO randomized controlled trial. JAMA 307:674-684, 2012
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12) Block GA, Wheeler DC, Persky MS, et al:Effects of phosphate binders in moderate CKD. J Am Soc Nephrol 23:1407-1415, 2012
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15) Toussaint ND, Lau KK, Polkinghorne KR, et al:Attenuation of aortic calcification with lanthanum carbonate versus calcium-based phosphate binders in haemodialysis:A pilot randomized controlled trial. Nephrology(Carlton)16:290-298, 2011
16) Komaba H, Kakuta T, Suzuki H, et al:Survival advantage of lanthanum carbonate for hemodialysis patients with uncontrolled hyperphosphatemia. Nephrol Dial Transplant 30:107-114, 2015
17) 日本透析医学会:2015年版慢性腎臓病患者における腎性貧血治療のガイドライン.透析会誌49:89-158, 2016
18) Singh AK, Szczech L, Tang KL, et al:Correction of anemia with epoetin alfa in chronic kidney disease. N Engl J Med 355:2085-2098, 2006
19) Pfeffer MA, Burdmann EA, Chen CY, et al:A trial of darbepoetin alfa in type 2 diabetes and chronic kidney disease. N Engl J Med 361:2019-2032, 2009
20) Drüeke TB, Locatelli F, Clyne N, et al:Normalization of hemoglobin level in patients with chronic kidney disease and anemia. N Engl J Med 355:2071-2084, 2006
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22) Charytan DM, Wallentin L, Lagerqvist B, et al:Early angiography in patients with chronic kidney disease:a collaborative systematic review. Clin J Am Soc Nephrol 4:1032-1043, 2009

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:2432-3292

印刷版ISSN:2432-3284

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