| Literature DB >> 23298840 |
Abstract
CLINICAL VIGNETTE: A 48-year-old man with chronic kidney disease stage five due to type II diabetes mellitus and hypertension was referred for hemodialysis initiation. His physical exam showed a blood pressure of 150/80, normal fundi, a positive fourth heart sound (S4), and trace pedal edema. Moderate aortic calcification was present on prior chest X-ray. The ECG showed left ventricle hypertrophy by voltage and slight prolongation of the QT interval. Medications included chlorthalidone, amlodipine, carvedilol, cholecalciferol, erythropoietin, and a phosphate binder. What additional therapy should be initiated to reduce vascular calcifications and cardiovascular mortality?Entities:
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Year: 2013 PMID: 23298840 PMCID: PMC3561828 DOI: 10.1172/JCI67203
Source DB: PubMed Journal: J Clin Invest ISSN: 0021-9738 Impact factor: 14.808