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SHR Neuro Krebs Kardio Lipid

Fandler-Höfler, S; Enzinger, C; Kneihsl, M; Pinter, D; Eppinger, S; Obermayer-Pietsch, B; Goritschan, A; Hafner-Giessauf, H; Rosenkranz, AR; Fazekas, F; Gattringer, T.
Early renal dysfunction and fibroblast growth factor-23 in patients with small vessel disease-related stroke.
Sci Rep. 2019; 9(1):15410-15410 [OPEN ACCESS]
Web of Science PubMed PUBMED Central FullText FullText_MUG

 

Autor/innen der Med Uni Graz:
Enzinger Christian
Eppinger Sebastian
Fandler-Höfler Simon
Fazekas Franz
Gattringer Thomas
Goritschan Anna
Hafner-Giessauf Hildegard
Kneihsl Markus
Obermayer-Pietsch Barbara
Pinter Daniela Theresia
Rosenkranz Alexander
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Abstract:
Interactions between cerebral small vessel disease (CSVD) and renal dysfunction (RD) have been reported, but previous studies were mostly retrospective and limited to measurements of estimated glomerular filtration rate (eGFR). In this prospective, longitudinal study of patients with CSVD-related recent small subcortical infarcts (RSSI), we aimed at a comprehensive exploration of markers of early RD and their association with microvascular brain damage. We investigated 101 stroke patients (mean age: 60.2 ± 10.7 years) with an MRI-confirmed RSSI who underwent follow-up brain MRI 15 months post-stroke. Besides serum creatinine and eGFR, we assessed urinary Albumin-Creatinine Ratio and fibroblast growth factor-23 (FGF-23). RD was classified according to recent Kidney Disease: Improving Global Outcomes criteria. We identified 24 patients with RD, only six patients revealed an eGFR <60 mL/min/1.73 m². RSSI patients with RD more often had severe white matter hyperintensities (WMH, 58% vs. 36%, p = 0.04). CSVD progression was not dependent on RD. However, patients in the highest FGF-23 quartile more frequently had new microangiopathic lesions on follow-up MRI (50% vs. 21%, p = 0.03). Early RD was found in a quarter of RSSI patients and associated with WMH severity, but not CSVD progression. High FGF-23 indicates an increased risk for ongoing microvascular brain damage, warranting further studies.

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