SUBJECT CONSULTANT REVIEW

Title of the article
Systemic inflammation is associated with pulmonary hypertension in patients undergoing haemodialysis.
Authors

Yu TM, Chen YH, Hsu JY, Sun CS, Chuang YW, Chen CH, Wu MJ, Cheng CH, Shu KH.

Journal

Nephrol Dial Transplant. 2009 Jun;24(6):1946-51. Epub 2009 Jan 22.

Subject Consultant
C. Basile
Score (1 to 3 stars)
**
Comments
Pulmonary hypertension (PH) is an overlooked cardiovascular morbidity in patients undergoing haemodialysis. Inflammation has been demonstrated to play a significant role with certain types of PH in non-uraemic patients. This study reveals that dialyzed patients with PH have increased serum levels of acute phase reactive protein and cytokines, including IL-1β, TNF- and IL-6. A chronic inflammation might play an important role in the pathogenesis of PH in patients undergoing haemodialysis.