Soubassi et al identified a number of risk factors associated with coronary artery disease in an older adult undergoing hemodialysis. These factors can help to identify a patient who may benefit from more aggressive management. The authors are from Hygeia Hospital in Athens.


Patient selection: older adult > 65 years on hemodialysis


Risk factors associated with coronary artery disease:

(1) male gender

(2) diabetes

(3) secondary hyperparathyroidism

(4) hypertension

(5) smoking

(6) elevated blood homocysteine concentrations

(7) elevated serum C-reactive protein (CRP)

(8) hemodialysis for longer period (several years)

(9) inadequate hemodialysis



• The relative risk for the factors ranged from 1.7 to 2.3.



• minimum number of risk factors: 0

• maximum number of risk factors: 9

• The risk increases with the number of risk factors.


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