Nephrol Dial Transplant (2004) 19: 5-8
© ERAEDTA 2003; all rights reserved
Editorial Comment
Lipid management in the proteinuric patient: do not overlook the importance of proteinuria reduction
Department of Internal Medicine, 1Division of Nephrology and 2Division of Endocrinology, University Medical Center Groningen, Groningen, The Netherlands
Correspondence and offprint requests to: Liffert Vogt, MD, Department of Internal Medicine, Division of Nephrology, University Medical Center Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands. Email: l.vogt@int.azg.nl
Keywords: chronic renal failure; lipids; proteinuria; statins; renoprotection
| The first 150 words of the full text of this article appear below. |
| Introduction |
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The markedly elevated cardiovascular risk observed in renal patients is increasingly recognized as an important treatment target [1]. Among the renal populations, proteinuric patients are at particularly high risk, as apparent from the observation of an almost 6-fold increased incidence of myocardial infarction in such patients [2]. Moreover, proteinuria has been shown to be an independent risk factor for cardiovascular morbidity and mortality [3,4]. Most likely, proteinuria-associated lipid abnormalities play a main role in the high cardiovascular risk in proteinuric patients, and thus provide an important treatment target.
Several studies have underlined the efficacy of statins, not only to improve the lipid profile, but also to reduce cardiovascular morbidity and mortality in hyperlipidaemic and hypertensive populations [5,6], and recent post-hoc data from the CARE study showed that statin treatment reduces cardiovascular morbidity in subjects with chronic renal insufficiency
| Plasma lipoproteins in proteinuria |
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| Effects of symptomatic antiproteinuric treatment on plasma lipoproteins |
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| Effects of lipid lowering drugs in proteinuric patients |
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| Renoprotective effects of statins in proteinuric conditions |
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| Conclusion |
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L. Vogt, G. D. Laverman, A. van Tol, A. K. Groen, G. Navis, and R. P. F. Dullaart Cellular cholesterol efflux to plasma from proteinuric patients is elevated and remains unaffected by antiproteinuric treatment Nephrol. Dial. Transplant., January 1, 2006; 21(1): 101 - 106. [Abstract] [Full Text] [PDF] |
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