Evidence map›Paper›PMID 27790486›Full record

ArticleJournal of clinical and diagnostic research : JCDR2016

A Comparative Study of Lipid Profile and Cardiovascular Risk Biomarkers Among Chronic Haemodialysis Patients and Healthy Individuals.

Shanmugam Lokesh, Tony Mathew Kadavanu, Siva Ranganathan Green, Tarun Kumar Dutta, Radhakrishnan Hemachandar, Arun Kumar Ramachandrappa, Shashank Rakesh Tiwari, Ezhumalai Govindasamy

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Article in Journal of clinical and diagnostic research : JCDR, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

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8 authors.

Shanmugam LokeshAssociate Professor, Department of General Medicine, Mahatma Gandhi Medical College & Research Institute, SBV University , Puducherry, India .
Tony Mathew KadavanuAssistant Professor, Department of General Medicine, Mahatma Gandhi Medical College & Research Institute, SBV University , Puducherry, India .
Siva Ranganathan GreenAssistant Professor, Department of General Medicine, Mahatma Gandhi Medical College & Research Institute, SBV University , Puducherry, India .
Tarun Kumar DuttaProfessor, Department of General Medicine, Mahatma Gandhi Medical College & Research Institute, SBV University , Puducherry, India .
Radhakrishnan HemachandarAssociate Professor, Department of Nephrology, Mahatma Gandhi Medical College & Research Institute, SBV University , Puducherry, India .
Arun Kumar RamachandrappaAssistant Professor, Department of General Medicine, Mahatma Gandhi Medical College & Research Institute, SBV University , Puducherry, India .
Shashank Rakesh TiwariResident, Department of General Medicine, Mahatma Gandhi Medical College & Research Institute, SBV University , Puducherry, India .
Ezhumalai GovindasamySenior Statistician and Research Consultant, Department of Statistics, Mahatma Gandhi Medical College & Research Institute, SBV University , Puducherry, India .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLipid abnormalities and increase in inflammatory markers are common among patients with End Stage Renal Disease (ESRD) and it tends to persist/worsen even after initiating Intermittent Haemodialysis (IHD). The cardiovascular mortality and morbidity remains significantly high in this population.

aimThe present study was carried out to assess the pattern of lipid abnormality in our population and to find its association with inflammatory markers. MATERIALS AND

methodsIt was a cross-sectional, observational study on ESRD patients undergoing Haemodialysis (HD) in comparison with age and sex matched healthy individuals in a tertiary care hospital. About 40 adult male and female patients aged >18 years, undergoing chronic HD for more than 6 months were enrolled in Group A. Patients who were alcoholics, tobacco consumers and those on steroids and hypolipidemic drugs were excluded. Group B consisted of healthy, age and sex matched controls. Serum lipid profile, lipoprotein A, apolipoprotein A1, apolipoprotein B and apo B/A1 ratio, serum uric acid, homocysteine, hs-CRP and testosterone levels were estimated among patients undergoing intermittent HD and healthy individuals. Chi-square/Fisher's-exact test was used for comparing ratios. A p-value of <0.05 was considered statistically significant.

resultsThe mean Total Cholesterol (TC), Low Density Lipoprotein (LDL) and Non-HDL High Density Lipoprotein cholesterol was significantly lower in HD patients as compared to control group with all the three parameters attaining statistical significance (p<0.005). The mean lipoprotein A level was significantly higher (p=0.037), while Apo A1 was found to be significantly lower (p=0.001) in patients receiving HD. Inflammatory markers like uric acid was high (p<0.005) and serum testotsterone level in male HD patient was significantly low (p<0.005).

conclusionThe mean values of traditional serum lipid profile remained lower in HD patients than the control group. The abnormalities in lipoprotein A and apolipoproteins were more pronounced in patients undergoing HD. The mean level of testosterone also was found to be lower in male patients receiving HD. Hence, estimation of lipoprotein A, apolipoproteins and inflammatory markers may serve as a potential tool in cardiovascular risk stratification.

Indexed as

High density lipoproteinHigh sensitivity C-reactive proteinInflammatory markers

Identifiers

PMID27790486
PMCPMC5071986

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