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Secondary hyperparathyroidism (HPT) is a known complication of chronic renal failure. Elevated concentrations of parathyroid hormone (PTH) play a role not only in the pathogenesis of renal bone disease, but also in the development of cardiovascular risk factors such as disturbed lipid metabolism, glucose intolerance, and hypertension. HPT is also known to play an important role in the development of structural abnormalities of both large arteries and the heart (left ventricular hypertrophy, interstitial fibrosis). In the last couple of years there has been increasing evidence from animal studies that the endothelium is a target organ of PTH.
Hypothesis: PTH has clinically relevant effects on renal hemodynamics, renal function and endothelial function.
Aims:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| parathyroidectomy | Procedure | parathyroidectomy |
Inclusion Criteria:
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Renal transplant recipients
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Pieter Evenepoel, MD, PhD | Contact | 003216344580 | pieter.evenepoel@uz.kuleuven.ac.be |
| Name | Affiliation | Role |
|---|---|---|
| Pieter Evenepoel, MD, PhD | Universitaire Ziekenhuizen KU Leuven | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hopsital Leuven | Recruiting | Leuven | 3000 | Belgium |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27379556 | Derived | Evenepoel P, Claes K, Viaene L, Bammens B, Meijers B, Naesens M, Sprangers B, Kuypers D. Decreased Circulating Sclerostin Levels in Renal Transplant Recipients With Persistent Hyperparathyroidism. Transplantation. 2016 Oct;100(10):2188-93. doi: 10.1097/TP.0000000000001311. |
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| ID | Term |
|---|---|
| D006961 | Hyperparathyroidism |
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D010279 | Parathyroid Diseases |
| D004700 | Endocrine System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D016105 | Parathyroidectomy |
| ID | Term |
|---|---|
| D013507 | Endocrine Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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