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Myocard infarction GFR

Discussion in 'Cardiology' started by Valery1957, Jan 2, 2020.

  1. Valery1957

    Valery1957 Famous Member

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    results
    The average GFR value estimated by cystatin C was 82 ml / min / 1.73 m2, by cystatin C and creatinine - 79 ml / min / 1.73 m2. 16% of patients smoked and 19% of patients had diabetes.
    The average amount of protein consumed was 71 g / day, of which 2/3 were animal protein.
    Analysis based on age, gender, total calorie intake, smoking, diabetes, systolic blood pressure, drugs that block the renin-angiotensin system and fat intake showed that an increase in total protein by 0.1 g / kg of ideal weight is associated with an additional decrease in GFR by −0.12 (95% confidence interval −0.19 - −0.04) ml / min / 1.73 m2, and the decrease was ambiguous for plant and animal protein.
    Patients who consumed ≥1.20 g / kg protein compared to <0.80 g / kg had a 2 times faster decrease in GFR (1.60 vs. −0.84 ml / min / 1.73 m2 )
    Conclusion
    High protein intake is associated with a faster decrease in renal function in patients after myocardial infarction.

    Source: Kevin Esmeijer, Johanna M Geleijnse, Johan W de Fijter, Daan Kromhout, Ellen K Hoogeveen. Nephrology dialysis Transplantation, gfz015.
     

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