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Secondary Hyperparathyroidism and Hypertension: An Intriguing Couple.


ABSTRACT: : Secondary hyperparathyroidism (SHPTH) is a major complication in patients on maintenance hemodialysis burdened with high cardiovascular risk. Hypertension is also a high prevalence complication contributing to an increase in the mortality rate in hemodialysis patients. A possible association between SHPTH and hypertension has been widely reported in the literature and several pathogenetic mechanisms have been described. There is evidence that the decrease of plasma iPTH levels are correlated with hypertension correction in hemodialysis patients undergoing parathyroidectomy and oral calcimimetics administration. We have observed a similar behaviour also in a patient on chronic hemodialysis treated with Etelcalcetide. Even if this is an isolated observation, it could stimulate future investigation, possibly in dedicated clinical trials.

SUBMITTER: Simeoni M 

PROVIDER: S-EPMC7141131 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Secondary Hyperparathyroidism and Hypertension: An Intriguing Couple.

Simeoni Mariadelina M   Perna Alessandra F AF   Fuiano Giorgio G  

Journal of clinical medicine 20200227 3


<b>:</b> Secondary hyperparathyroidism (SHPTH) is a major complication in patients on maintenance hemodialysis burdened with high cardiovascular risk. Hypertension is also a high prevalence complication contributing to an increase in the mortality rate in hemodialysis patients. A possible association between SHPTH and hypertension has been widely reported in the literature and several pathogenetic mechanisms have been described. There is evidence that the decrease of plasma iPTH levels are corre  ...[more]

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