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Observational Study
. 2020 Nov 5;10(1):19160.
doi: 10.1038/s41598-020-76261-5.

Vitamin D and subclinical cardiac damage in a cohort of kidney transplanted patients: a retrospective observational study

C Alfieri  1   2 , S Vettoretti  1 , O Ruzhytska  1   3 , M T Gandolfo  1 , D Cresseri  1 , M Campise  1 , L Caldiroli  1 , E Favi  2   4 , V Binda  1 , P Messa  5   6
Affiliations
Observational Study

Vitamin D and subclinical cardiac damage in a cohort of kidney transplanted patients: a retrospective observational study

C Alfieri et al. Sci Rep. .

Abstract

In 178-kidney transplanted patients (KTxp), the prevalence of hypovitaminosis-D, the presence and novel development of left ventricular hypertrophy(LVH) and the correlations between native Vitamin-D (25OHD) and LVH were evaluated during the 1st year of transplantation (KTx). Clinical and instrumental data were recorded at pre-KTx and at one (T1) and 12 (T12) months after KTx. 25OHD levels were considered sufficient (s25OHD, ≥ 30 ng/dL) or insufficient (i25OHD, < 30 ng/dL). 25OHD correlated at T1 with parathormone(PTH), and at T12 with 25OHD-T1 and PTH-(T1,T12). At T12, s25OHD (15%) had higher 25OH and alkaline phosphatase (ALP), lower Ca, at T1, and lower PTH-(T1, T12) than i25OH-T12. At T1, KTxp with LVH (LVH-T1pos, 42%) were older and with longer dialysis vintage than LVH-T1neg. At T12, KTxp with LVH (LVH-T12pos, 53%) were older, with higher systolic blood pressure (SBP) at T12 than LVH-T12neg. No relation between 25OHD and LVH were found. Novel LVH was found in 14% of KTxp. They were older, had higher SBP-T12 and lower serum albumin-T12 than the others. LVH-modifications and 25OHD were not correlated. Hypovitaminosis-D is highly prevalent in KTxp. LVH correlates with different risk factors according to the time elapsed from KTx. However, during the 1st year of KTx, no relationship between LVH and 25OHD was observed.

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Conflict of interest statement

The authors declare no competing interests.

References

    1. Go AS, Chertow GM, Fan D, McCulloch CE, Hsu CY. Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. N. Engl. J. Med. 2004;351(13):1296–1305. doi: 10.1056/NEJMoa041031. - DOI - PubMed
    1. Shlipak MG, et al. Cardiovascular mortality risk in chronic kidney disease: comparison of traditional and novel risk factors. JAMA. 2005;293(14):1737–1745. doi: 10.1001/jama.293.14.1737. - DOI - PubMed
    1. Gansevoort RT, et al. Chronic kidney disease and cardiovascular risk: epidemiology, mechanisms, and prevention. Lancet. 2013;382(9889):339–352. doi: 10.1016/S0140-6736(13)60595-4. - DOI - PubMed
    1. Paoletti E, et al. Associations of left ventricular hypertrophy and geometry with adverse outcomes in patients with CKD and hypertension. CJASN. 2016;11(2):271–279. doi: 10.2215/CJN.06980615. - DOI - PMC - PubMed
    1. Alfieri C, et al. Native Hypovitaminosis D in CKD Patients: From Experimental Evidence to Clinical Practice. Nutrients. 2019;11(8):1918. doi: 10.3390/nu11081918. - DOI - PMC - PubMed

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