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Hyponatremia Predicts New-Onset Cardiovascular Events in Peritoneal Dialysis Patients

DC Field Value Language
dc.contributor.author박철호-
dc.contributor.author김형우-
dc.contributor.author한승혁-
dc.contributor.author류근우-
dc.contributor.author박정탁-
dc.contributor.author유태현-
dc.contributor.author강신욱-
dc.contributor.author최규헌-
dc.contributor.author한대석-
dc.date.accessioned2019-01-18T16:40:08Z-
dc.date.available2019-01-18T16:40:08Z-
dc.date.issued2015-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/166902-
dc.description.abstractBACKGROUND AND AIM: Cardiovascular (CV) disease is the leading cause of morbidity and mortality in patients on peritoneal dialysis (PD). Hyponatremia was recently shown to be a modifiable factor that is strongly associated with increased mortality in PD patients. However, the clinical impact of hyponatremia on CV outcomes in these patients is unclear. METHODS: To determine whether a low serum sodium level predicts the development of CV disease, we carried out a prospective observational study of 441 incident patients who started PD between January 2000 and December 2005. Time-averaged serum sodium (TA-Na) levels were determined to investigate the ability of hyponatremia to predict newly developed CV events in these patients. RESULTS: During a mean follow-up of 43.2 months, 106 (24.0%) patients developed new CV events. The cumulative incidence of new-onset CV events after the initiation of PD was significantly higher in patients with TA-Na levels ≤ 138 mEq/L than in those with a TA-Na > 138 mEq/L. After adjustment for multiple potentially confounding covariates, an increase in TA-Na level was found to be associated with a significantly lower risk of CV events (subdistribution hazard ratio per 1 mEq/L increase, 0.90; 95% confidence interval, 0.83-0.96; p = 0.003). Patients with a TA-Na ≤ 138 mEq/L had a 2.31-fold higher risk of suffering a CV event. CONCLUSIONS: These results provide evidence of a clear association between low serum sodium and new-onset CV events after dialysis initiation in PD patients. Whether the correction of hyponatremia for this indication provides additional protection for the development of CV disease in these patients remains to be addressed in interventional studies.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherPublic Library of Science-
dc.relation.isPartOfPLOS ONE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHCardiovascular Diseases/etiology*-
dc.subject.MESHHumans-
dc.subject.MESHHyponatremia/complications*-
dc.subject.MESHIncidence-
dc.subject.MESHMultivariate Analysis-
dc.subject.MESHPeritoneal Dialysis*-
dc.subject.MESHProportional Hazards Models-
dc.subject.MESHRisk Factors-
dc.titleHyponatremia Predicts New-Onset Cardiovascular Events in Peritoneal Dialysis Patients-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Microbiology (미생물학교실)-
dc.contributor.googleauthorHyung Woo Kim-
dc.contributor.googleauthorGeun Woo Ryu-
dc.contributor.googleauthorCheol Ho Park-
dc.contributor.googleauthorEa Wha Kang-
dc.contributor.googleauthorJung Tak Park-
dc.contributor.googleauthorSeung Hyeok Han-
dc.contributor.googleauthorTae-Hyun Yoo-
dc.contributor.googleauthorSug Kyun Shin-
dc.contributor.googleauthorShin-Wook Kang-
dc.contributor.googleauthorKyu Hun Choi-
dc.contributor.googleauthorDae Suk Han-
dc.contributor.googleauthorTae Ik Chang-
dc.identifier.doi10.1371/journal.pone.0129480-
dc.contributor.localIdA01721-
dc.relation.journalcodeJ02540-
dc.identifier.eissn1932-6203-
dc.identifier.pmid26053619-
dc.contributor.alternativeNamePark, Cheol Ho-
dc.contributor.affiliatedAuthor박철호-
dc.citation.volume10-
dc.citation.number6-
dc.citation.startPagee0129480-
dc.identifier.bibliographicCitationPLOS ONE, Vol.10(6) : e0129480, 2015-
dc.identifier.rimsid64943-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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