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Volume 67, Pages S51-S58 (June 2005)

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1 Volume 67, Pages S51-S58 (June 2005)
Evaluation and treatment of coronary artery disease in patients with end-stage renal disease  Peter A. McCullough  Kidney International  Volume 67, Pages S51-S58 (June 2005) DOI: /j x Copyright © 2005 International Society of Nephrology Terms and Conditions

2 Figure 1 The processes related to the acceleration of coronary disease and plaque rupture in patients with renal disease. NO, nitric oxide; LDL-C, low-density lipoprotein cholesterol; AGE, advanced glycation end products. Reproduced with permission from reference41. Kidney International  , S51-S58DOI: ( /j x) Copyright © 2005 International Society of Nephrology Terms and Conditions

3 Figure 2 Postulated three-step mechanism in the induction of uremic vascular calcification: (1) vascular smooth muscle cells dedifferentiate to become osteoblast-like; (2) osteoblast-like cells lay down a matrix of collagen and noncollagen proteins that serve as a nidus for subsequent mineralization; (3) promineralizing forces (increased calcium-phosphorus product, hyperphosphatemia, or increased calcium load) outweigh the antimineralizing forces of inhibitors (fetuin and matrix Gla protein). Cbfa1, a transcription factor for osteoblast differentiation and the expression of the bone matrix proteins; MGP, matrix gla protein; Pi, phosphorus. Reproduced with permission from reference45. Kidney International  , S51-S58DOI: ( /j x) Copyright © 2005 International Society of Nephrology Terms and Conditions

4 Figure 3 Algorithm for evaluation of patients with ESRD for suspected coronary artery disease (adapted from reference41). Kidney International  , S51-S58DOI: ( /j x) Copyright © 2005 International Society of Nephrology Terms and Conditions

5 Figure 4 Long-term survival according to CAD management strategy in patients with CrCl <60 ml/min or with ESRD on dialysis (Reproduced with permission fromreference45). Kidney International  , S51-S58DOI: ( /j x) Copyright © 2005 International Society of Nephrology Terms and Conditions


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