Medida da espessura médio-intimal da artéria carótida de crianças e adolescentes transplantados renais : um estudo controlado

Detalhes bibliográficos
Ano de defesa: 2013
Autor(a) principal: Bender, Alessandra Moreira lattes
Orientador(a): D'avila, Domingos Otavio Lorenzoni lattes
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Pontifícia Universidade Católica do Rio Grande do Sul
Programa de Pós-Graduação: Programa de Pós-Graduação em Medicina e Ciências da Saúde
Departamento: Faculdade de Medicina
País: BR
Palavras-chave em Português:
Área do conhecimento CNPq:
Link de acesso: http://tede2.pucrs.br/tede2/handle/tede/1765
Resumo: Background : Young adults with end-stage renal disease present increased risk of early cardiovascular morbidity and mortality. A kidney transplant is the treatment of choice to improve the kidney function, although it does not alter that risk. Carotid artery intima-media thickness (CIMT) seems to be an early predictor of cardiovascular risk. The aim of this study was to examine CIMT in young kidney transplant patients. Methods : Individuals aged 5 to 21 years were enrolled: 27 who had undergone a kidney transplant (Transplant group), and 25 without kidney disease (Control group). Anthropometric, family, clinical and laboratory variables, and time on dialysis (for Transplant group) were collected. Systolic and diastolic blood pressure and abdominal circumference were measured. Automated ultrasonography measured CIMT. Descriptive statistics was used to compare groups and search for associations. Results : A majority of patients was male, with mean age 12.3 ± 4.7 years. Systolic blood pressure, hematocrit, creatinine, eGFR, serum albumin and insulin levels significantly differed between groups. Yet no significant difference in CIMT between Transplant and Control groups (0.46 ± 0.04 vs. 0.45 ± 0.03, respectively; p = 0.304) was detected. Univariate analysis was unable to show any association with known risk factors. Conclusion : No difference in CIMT between groups was established using a new ultrasound measuring device