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the objective of this study is to :
-Determinate wether the circulating levels of iFGF23 and klotho can be a predictor biomarker of HF in patients with CKD-MBD.
The disorders of mineral metabolism and bone disease are common complications in CKD patients and they are associated with increased morbidity and mortality.
Abnormalities of the vasculature are seen in early CKD, producing vascular stiffness contributing to left ventricular hypertrophy and its pathophysiology involves newly discovered hormones, such as the fibroblast Growth factor 23 (FGF23) and α- klotho.
The FGF receptor and its co-receptor klotho moderate these effects. FGF23 levels inflate early in in the advancement of CKD stage to attain levels in CKD stage 5D.
But we still have few knoweledges if these markers can have some drawbacks for predicting CVD in early stage CKD.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Heart Failure (HF) | subjects with a Left Ventricular Ejection Fraction (LVEF) <50% or LVEF >50% and E/e'>10. | ||
| No Heart Failure (NHF) | subjects with LVEF>50% |
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| Measure | Description | Time Frame |
|---|---|---|
| Fibroblast Growth Factor 23 (FGF23) | compare the circulating levels of FGF23 (pg/ml) in the two groups . | completed data base (after 4 months) |
| Alpha Klotho | compare the circulating levels of klotho (ng/ml) in the two groups . | completed data base (after 4 months) |
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Inclusion Criteria:
Exclusion Criteria:
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subjects who visited the emmergency departement or the nephrology departement , meeting the criteria inclusion and have given a written consent .
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| Name | Affiliation | Role |
|---|---|---|
| Lamti Feten, PhD student | Research Laboratory (LR12SP18) University of Monastir Tunisia, Tunisia and Research Unit (UR17ES29) Faculty of Pharmacy , Monastir | Study Chair |
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| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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Blood samples were centrifuged, the plasma were collected and stored at -80°C until utilization.
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |