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Consequences of hyperphosphatemia and elevated levels of the calcium-phosphorus product in dialysis patients
Author(s): Levin NW, Hoenich NA
Source: CURRENT OPINION IN NEPHROLOGY AND HYPERTENSION    Volume: 10    Issue: 5    Pages: 563-568    Published: SEP 2001  
Times Cited: 40     References: 27     
Abstract: Control of serum phosphorus levels is a central goal in the management of patients with chronic renal failure. Inadequate control of serum phosphorus leads to elevated levels of the calcium-phosphorus product. This plays a pivotal role in vascular calcification, cardiovascular disease, calciphylaxis, and death. Elevated phosphorus and elevated levels of the calcium-phosphorus product are both significant predictors of cardiovascular mortality, at phosphorus and calcium-phosphorus product levels that were considered safe until recently. A lowering of levels such that phosphorus is maintained between 2.2 and 5.5 mg/dl calcium-phosphorus product is below 55 mg(2)/dl(2), and serum calcium is at 9.2-9.6 mi respectively, might well be the goal of therapeutic management strategies. Curr Opin Nephrol Hypertens 10:563-568. (C) 2001 Lippincott Williams & Wilkins.
Document Type: Review
Language: English
Reprint Address: Levin, NW (reprint author), Renal Res Inst, 207 E 94th St, New York, NY 10128 USA
Addresses:
1. Renal Res Inst, New York, NY 10128 USA
Publisher: LIPPINCOTT WILLIAMS & WILKINS, 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA
Subject Category: Urology & Nephrology; Peripheral Vascular Disease
IDS Number: 467QA
ISSN: 1062-4821
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