1996 Volume 29 Issue 7 Pages 1139-1142
Significant coronary stenosis was detected in 108 of 143 dialysis patients who underwent coronary angiography in our institution to March of 1995. In the patients with significant coronary stenosis (n=108), the main causes of end-stage renal disease were chronic glomerulo nephritis (CGN; 33%), diabetic nephropathy (DN; 42%), and nephrosclerosis (NSC; 17%). DN and NSC were more prevalent than CGN compared to end-stage renal disease (ESRD) patients in general. The mean age was higher in patients with NSC than in other patients. The duration of dialysis was significantly shorter in DN (2.3±3.3 years, m±SD) and in NSC (1.3±1.7) than in CGN (6.1±4.8). It was shown that ischemic heart disease is more common in patients with DN/NSC than in patients with CGN. Patients with DN/NSC were frequently complicated with ischemic heart disease when dialysis was initiated and they tended to have severe coronary lesions. We usually applied percutaneous transluminal coronary angioplasty (PTCA) in patients with 1 or 2-vessel diseases and coronary artery bypass grafting (CABG) in patients with 3-vessel diseases or the left main trunk lesions, however the intervensive treatment was not performed in some patients because of severe coronary calcification or atherosclerotic complication.
