Pediatric kidney disease tied to abnormal carotid arteries

Pediatric kidney disease tied to abnormal carotid arteries
Ultrasound measurements of carotid intima-media thickness are significantly elevated among children with chronic kidney disease compared with healthy controls, according to a study published online Sept. 13 in the Clinical Journal of the American Society of Nephrology.

(HealthDay)—Ultrasound measurements of carotid intima-media thickness (cIMT) are significantly elevated among children with chronic kidney disease (CKD) compared with healthy controls, according to a study published online Sept. 13 in the Clinical Journal of the American Society of Nephrology.

Tammy M. Brady, M.D., from Johns Hopkins University in Baltimore, and colleagues analyzed data from 101 children aged 2 to 18 years with mild-to-moderate CKD (median [GFR], 42.9 ml/min/1.73 m²) enrolled in the in Children cohort study and 97 healthy controls followed for 12 months. Overall cIMT measurement was calculated from an average of six standardized B-mode ultrasound measurements.

The researchers found that median cIMT in children with CKD was 0.43 mm (interquartile range, 0.38 to 0.48), which was significantly greater than that in healthy controls (0.41 mm) and remained larger after multivariable adjustment. Dyslipidemia and hypertension were associated with 0.05 mm (95 percent confidence interval [CI], 0.01 to 0.08) and 0.04 mm (95 percent CI, 0.003 to 0.08) greater mean cIMT, respectively. cIMT was not associated with , CKD etiology, GFR, birth weight, pubertal status, calcium, phosphorus, sex, or race.

"cIMT is significantly elevated among children with CKD, as is the prevalence of other ," the authors write. "Of these risk factors, hypertension and dyslipidemia are significantly associated with increased cIMT."

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Obama to announce major Ebola effort

37 minutes ago

US President Barack Obama will Tuesday seek to "turn the tide" in the Ebola epidemic by ordering 3,000 US military personnel to West Africa and launching a major health care training and hygiene program.

Sierra Leone: WHO too slow to help doc with Ebola

10 hours ago

Sierra Leone accused the World Health Organization on Monday of being "sluggish" in facilitating an evacuation of a doctor who died from Ebola before she could be sent out of the country for medical care.

Dutch doctors feared to have Ebola leave hospital

10 hours ago

Two Dutch doctors flown home from west Africa after fears they might have been contaminated with the killer Ebola virus have left hospital "in good health," their employer, the Lion Heart Medical Centre, said Monday.

Strategic self-sabotage? MRSA inhibits its own growth

15 hours ago

Scientists at the University of Western Ontario have uncovered a bacterial mystery. Against all logic, the most predominant strain of methicillin-resistant Staphylococcus aureus (MRSA) in North American produces an enzyme ...

User comments