臨牀透析 Vol.26 No.5(9)


特集名 透析患者の心臓―心臓病による死亡を減らすために
題名 透析患者の心臓弁膜症
発刊年月 2010年 05月
著者 尾崎 重之 東邦大学医療センター大橋病院心臓血管外科
【 要旨 】 慢性腎臓病患者の心臓弁膜症は年々増加傾向にある.以下の点に留意して診療を行う必要がある.(1) 基本的に透析患者の弁膜症の手術適応は,非透析患者のそれと変わるところはない.(2) 透析患者の石灰化弁は,一般的に大動脈弁の石灰化と僧帽弁輪の石灰化が知られている.(3) 血液透析患者の大動脈弁狭窄症の進行が速いことは,留意すべき点である.
Theme Heart and it's Diseases in Dialysis Patients -- For their better longevity
Title Heart valve disease associated with chronic kidney disease
Author Shigeyuki Ozaki Department of Cardiovascular Surgery, Toho University Medical Center Ohashi Hospital
[ Summary ] Heart valve disease associated with chronic kidney disease is increasing yearly. It is necessary to treat heart valve disease while noting the following points: (1) The surgical indications for valvular disease in dialysis patient are basically the same as for non-dialysis patients. (2) In relation to the calcified valves in dialysis patients, the calcification of aortic valves and mitral annulus calcification are generally observed. (3) It is important that the progression of aortic stenosis in hemodialysis patients be noted early.
戻る