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[常染色体显性多囊肾病中的心血管疾病]

[Cardiovascular disorders in autosomal dominant polycystic kidney disease].

作者信息

Hamzaoui Mouad, Lamy Gaspard, Bellien Jérémy, Guerrot Dominique

机构信息

Inserm U1096, FHU REMOD-VHF, UniRouen, Normandie Université, 76000 Rouen, France; Service de néphrologie, CHU de Rouen, 76000 Rouen, France.

Inserm U1096, FHU REMOD-VHF, UniRouen, Normandie Université, 76000 Rouen, France; Service de pharmacologie clinique, CHU de Rouen, 76000 Rouen, France.

出版信息

Nephrol Ther. 2021 Feb;17(1):18-29. doi: 10.1016/j.nephro.2020.09.003. Epub 2021 Jan 8.

Abstract

Autosomal dominant polycystic kidney disease is the most frequent genetic kidney disease. Cardiovascular disorders associated with autosomal dominant polycystic kidney disease are multiple and may occur early in life. In autosomal dominant polycystic kidney disease cardiovascular morbidity and mortality are related both to the nonspecific consequences of chronic kidney disease and to the particular phenotype of autosomal dominant polycystic kidney disease. Compared to the general population, patients with autosomal dominant polycystic kidney disease present an increased prevalence of hypertension, left ventricular hypertrophy, atrial fibrillation, valvular diseases, aneurisms and arterial dissections. This review article provides an update on cardiovascular disorders associated with autosomal dominant polycystic kidney disease and recent pathophysiological developments.

摘要

常染色体显性多囊肾病是最常见的遗传性肾脏疾病。与常染色体显性多囊肾病相关的心血管疾病多种多样,且可能在生命早期就出现。在常染色体显性多囊肾病中,心血管疾病的发病率和死亡率既与慢性肾病的非特异性后果有关,也与常染色体显性多囊肾病的特定表型有关。与普通人群相比,常染色体显性多囊肾病患者患高血压、左心室肥厚、心房颤动、瓣膜疾病、动脉瘤和动脉夹层的患病率更高。这篇综述文章提供了与常染色体显性多囊肾病相关的心血管疾病以及近期病理生理学进展的最新情况。

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