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Kidney transplantation improves arterial stiffness in patients with end-stage renal disease

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Abstract

Background

Cardiovascular disease (CVD) is the leading cause of mortality among the patients with end-stage renal disease (ESRD). Arterial stiffness is a well-accepted predictor of cardiovascular mortality in general population and ESRD patients. The aim of this study was to compare the change of arterial stiffness in kidney transplant recipients (KTRs) and ESRD patients, and further investigate the impact of kidney transplantation (KT) on arterial stiffness.

Methods

A total of 138 maintenance hemodialysis patients, 198 KTRs and 75 healthy volunteers were enrolled in this study. The carotid-femoral pulse wave velocity (CF-PWV) and carotid-radial PWV (CR-PWV) were determined, and the correlations of PWV with biochemical parameters were analyzed.

Results

CF-PWV was highest in the maintenance hemodialysis patients, but similar between KTRs and healthy volunteers. Bivariate correlation analysis among KTRs demonstrated that CF-PWV was positively correlated with high level of peripheral diastolic blood pressure, pulse pressure, mean artery pressure, BUN and HDL, but negatively correlated with albumin. Univariate polytomous logistic regression analysis showed that age, BMI, systolic blood pressure, pulse pressure, length of KT and BUN were associated with the increase of CF-PWV value.

Conclusions

Aortic stiffness could be improved after KT. Meanwhile, age, BMI, systolic blood pressure, pulse pressure, length of KT and BUN were independent predictors of the increase of CF-PWV in KTRs.

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Availability of data and materials

All data generated or analysed during this study are included in this published article.

Abbreviations

CVD:

Cardiovascular diseases

ESRD:

End-stage renal disease

KT:

Kidney transplantation

CF-PWV:

Carotid-femoral pulse wave velocity

CR-PWV:

Carotid-radial pulse wave velocity

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Author information

Correspondence to Han Li or Xiaodong Zhang.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethics approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

Consent to participate

There is no organ were obtained from prisoners and the kidney always were obtained from emergency department and neurology department of Beijing Chao-Yang Hospital, Capital Medical University.

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Cite this article

Feng, S., Wang, H., Yang, J. et al. Kidney transplantation improves arterial stiffness in patients with end-stage renal disease. Int Urol Nephrol (2020) doi:10.1007/s11255-020-02376-3

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Keywords

  • Aortic stiffness
  • Cardiovascular disease
  • Kidney transplantation
  • Pulse wave velocity