The Korean Journal of Internal Medicine

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Editorial
Korean J Med. 2014;87(1):39-41. Published online July 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.1.39
혈액투석 환자에서 혈관 석회화의 임상적 의의: 결과인가 시작인가?
김창성
전남대학교병원 신장내과
Clinical Implication of Vascular Calcification in Patients Undergoing Hemodialysis: The End or the Beginning of Disease
Chang Seong Kim
Division of Nephrology, Department of Internal Medicine, Chonnam National University Hospital, Gwangju, Korea
Corresponding author: Chang Seong Kim ,Tel: +82-62-220-6254, Fax: +82-62-225-8578, Email: laminion@hanmail.net


Abstract
its strong link to high cardiovascular mortality and low patient survival. Calcification of both the coronary and large vessels is common in patients undergoing hemodialysis. However, no consensus exists on the assessment of vascular calcification or interventions to retard its progression in patients undergoing hemodialysis. In this issue, Shin et al. investigated the correlation between the vascular calcification score of the hands and pelvis on simple radiographs and the inflammation and nutrition status of patients undergoing hemodialysis. They determined that vascular calcification is crucial and severs the vicious circle of linked risk factors, thus improving survival outcomes. In this respect, vascular calcification may not be an end to disease course, but a beginning.

Keywords :Vascular calcification, Vascular stiffness, Inflammation, Malnutrition, Hemodialysis
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