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[Effects of reduced dialysate calcium on mineral metabolism in hemodialysis patients].
Clin Calcium. 2005 Sep; 15 Suppl 1:121-4; discussion 124.CC

Abstract

AIM

To study the effects of decreased dialysis calcium on mineral metabolism.

METHODS

Dialysis calcium concentration was switched from 3.0 mEq/L to 2.5 mEq/L. Changes of serum Ca, P, and PTH were monitored for 6 months in 58 hemodialysis patients.

RESULTS

Serum calcium decreased 2 weeks after the switch of dialysate, although it returned to the basal level after 6 months because of increased dosage of vitamin D. Phosphorus transiently increased after the switch. I-PTH increased in patients whose i-PTH before the switch was less than 100 pg/mL. PTH decreased in patients whose i-PTH exceeded 300 pg/mL.

CONCLUSION

Decreased dialysis calcium produced lower serum calcium and better PTH control.

Authors+Show Affiliations

Department of Artificial Kidney, Konan Hospital.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

jpn

PubMed ID

16272643

Citation

Fujimori, Akira, et al. "[Effects of Reduced Dialysate Calcium On Mineral Metabolism in Hemodialysis Patients]." Clinical Calcium, vol. 15 Suppl 1, 2005, pp. 121-4; discussion 124.
Fujimori A, Yorifuji M, Sakai M, et al. [Effects of reduced dialysate calcium on mineral metabolism in hemodialysis patients]. Clin Calcium. 2005;15 Suppl 1:121-4; discussion 124.
Fujimori, A., Yorifuji, M., Sakai, M., & Fukagawa, M. (2005). [Effects of reduced dialysate calcium on mineral metabolism in hemodialysis patients]. Clinical Calcium, 15 Suppl 1, 121-4; discussion 124.
Fujimori A, et al. [Effects of Reduced Dialysate Calcium On Mineral Metabolism in Hemodialysis Patients]. Clin Calcium. 2005;15 Suppl 1:121-4; discussion 124. PubMed PMID: 16272643.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Effects of reduced dialysate calcium on mineral metabolism in hemodialysis patients]. AU - Fujimori,Akira, AU - Yorifuji,Masahiko, AU - Sakai,Makoto, AU - Fukagawa,Masafumi, PY - 2005/11/8/pubmed PY - 2006/1/25/medline PY - 2005/11/8/entrez SP - 121-4; discussion 124 JF - Clinical calcium JO - Clin Calcium VL - 15 Suppl 1 N2 - AIM: To study the effects of decreased dialysis calcium on mineral metabolism. METHODS: Dialysis calcium concentration was switched from 3.0 mEq/L to 2.5 mEq/L. Changes of serum Ca, P, and PTH were monitored for 6 months in 58 hemodialysis patients. RESULTS: Serum calcium decreased 2 weeks after the switch of dialysate, although it returned to the basal level after 6 months because of increased dosage of vitamin D. Phosphorus transiently increased after the switch. I-PTH increased in patients whose i-PTH before the switch was less than 100 pg/mL. PTH decreased in patients whose i-PTH exceeded 300 pg/mL. CONCLUSION: Decreased dialysis calcium produced lower serum calcium and better PTH control. SN - 0917-5857 UR - https://www.unboundmedicine.com/medline/citation/16272643/[Effects_of_reduced_dialysate_calcium_on_mineral_metabolism_in_hemodialysis_patients]_ L2 - https://medlineplus.gov/dialysis.html DB - PRIME DP - Unbound Medicine ER -