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慢性肾衰竭中血红蛋白升高的心血管效应。

Cardiovascular effects of increasing hemoglobin in chronic renal failure.

作者信息

Mayer G, Hörl W H

出版信息

Am J Nephrol. 1996;16(4):263-7. doi: 10.1159/000169007.

DOI:10.1159/000169007
PMID:8739276
Abstract

Partial correction of renal anemia by the use of recombinant human erythropoietin is associated with various effects on cardiovascular performance parameters. A decrease in cardiac output as well as an increase in systemic peripheral resistance have been noted and the pathogenetic basis of these changes will be discussed. Furthermore this article will focus on the potential cardiovascular consequences of prolonged correction of anemia in patients with renal failure. The literature on the clinical implications, such as left ventricular hypertrophy, peripheral arterial occlusive disease and finally patient care costs, will be discussed.

摘要

使用重组人促红细胞生成素对肾性贫血进行部分纠正与对心血管性能参数的多种影响相关。已观察到心输出量降低以及全身外周阻力增加,本文将讨论这些变化的发病机制基础。此外,本文将重点关注肾衰竭患者长期纠正贫血可能产生的心血管后果。还将讨论有关临床影响的文献,如左心室肥厚、外周动脉闭塞性疾病以及最终的患者护理成本。

相似文献

1
Cardiovascular effects of increasing hemoglobin in chronic renal failure.慢性肾衰竭中血红蛋白升高的心血管效应。
Am J Nephrol. 1996;16(4):263-7. doi: 10.1159/000169007.
2
Cardiovascular effects of recombinant human erythropoietin in predialysis patients.重组人促红细胞生成素对透析前患者的心血管影响。
Am J Kidney Dis. 1997 Apr;29(4):541-8. doi: 10.1016/s0272-6386(97)90335-8.
3
Cardiovascular hemodynamic effects of correction of anemia of chronic renal failure with recombinant-human erythropoietin.
Transplant Proc. 1991 Apr;23(2):1827-30.
4
Erythropoietin treatment does not compromise cardiovascular function in chronic renal failure.促红细胞生成素治疗不会损害慢性肾衰竭患者的心血管功能。
Angiology. 1994 Mar;45(3):231-4. doi: 10.1177/000331979404500309.
5
Should the hematocrit (hemoglobin) be normalized in Pre-ESRD or dialysis patients? Yes!在终末期肾病前期或透析患者中,血细胞比容(血红蛋白)是否应恢复正常?答案是肯定的!
Blood Purif. 2001;19(2):168-74. doi: 10.1159/000046935.
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Anemia management in patients with chronic renal insufficiency.慢性肾功能不全患者的贫血管理
Am J Kidney Dis. 2000 Dec;36(6 Suppl 3):S39-51. doi: 10.1053/ajkd.2000.19930.
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[Erythropoietin-beta in the treatment of anemia in patients with chronic renal insufficiency].促红细胞生成素-β治疗慢性肾功能不全患者贫血
Med Pregl. 2001 May-Jun;54(5-6):235-40.
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Renal function during erythropoietin therapy for anemia in predialysis chronic renal failure patients.促红细胞生成素治疗透析前慢性肾衰竭患者贫血期间的肾功能
Am J Nephrol. 1990;10(2):128-36. doi: 10.1159/000168067.
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Echocardiographic findings in hemodialysis patients treated with recombinant human erythropoietin: proposal for a hematocrit most beneficial to hemodynamics.接受重组人促红细胞生成素治疗的血液透析患者的超声心动图检查结果:关于对血流动力学最有益的血细胞比容的建议
Clin Nephrol. 1991 Jan;35(1):35-8.
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Improvement in exercise capacity after correction of anemia in patients with end-stage renal failure.
Am J Cardiol. 1991 Oct 15;68(10):1060-6. doi: 10.1016/0002-9149(91)90496-8.

引用本文的文献

1
Hypertension in patients on dialysis: diagnosis, mechanisms, and management.透析患者的高血压:诊断、机制与管理
J Bras Nefrol. 2019 Jul-Sep;41(3):400-411. doi: 10.1590/2175-8239-jbn-2018-0155. Epub 2018 Nov 8.
2
Differentiating factors between erythropoiesis-stimulating agents: a guide to selection for anaemia of chronic kidney disease.促红细胞生成素类药物的鉴别因素:慢性肾脏病贫血治疗的选择指南
Drugs. 2004;64(5):499-509. doi: 10.2165/00003495-200464050-00004.
3
Worsening of left ventricular diastolic function during long-term correction of anemia with erythropoietin in chronic hemodialysis patients--an assessment by radionuclide ventriculography at rest and exercise.
慢性血液透析患者长期使用促红细胞生成素纠正贫血过程中左心室舒张功能的恶化——静息和运动状态下放射性核素心室造影评估
Int J Card Imaging. 1999 Jun;15(3):233-9. doi: 10.1023/a:1006171626861.