Metabolic alterations in dialysis patients Drechsler, C.
Hele tekst
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(448) . .
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(451) 'J &=J@>KKG KB #TLANEIAJP=H .D=NI=?KHKCU KB KJA #@O
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(474) 7 &9- "/:2;96
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(479) +KNP=HEPU NEOG BKN @E=HUOEO L=PEAJPO SEPD @EBBANAJPHARAHOKBOANQI?=H?EQI LDKOLDKNQO =J@.2&PDA"E=HUOEO-QP?KIAO =J@.N=?PE?A.=PPANJO1PQ@U"-..1
(480) 73.8/B3<
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(487) 73.8/B3<
(488). . RN=I ++ 1NAA@D=N= 0 RN=I ") +Q?DJE?G 0 $AEJ .
(489) #JNKHHIAJP L=N=PDUNKE@ DKNIKJA HARAH EO = JAS I=NGAN KB OQNRER=H EJ DAIK@E=HUOEO =J@ LANEPKJA=H@E=HUOEOPDAN=LUBKNQNAIE=
(490) 73.8/B3<
(491). . RN=I ++ +EPPI=J , +UEJP ++ $AEJ .
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(493) 7 3.8/B 3<
(494). . %QD(7 !DAJ&! !DQ=JC&7 &Q=JC1! !DEAJ*! *=E7&
(495) 0EOGB=?PKNO=J@NEOG BKNIKNP=HEPUKBIEH@DULKL=N=PDUNKE@EOIEJDAIK@E=HUOEOL=PEAJPO
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(500). . )=H=JP=N 8=@AD ) 'GEVHAN 2 HK?G % RN=I ++ )KLLHA ("
(501) +=HJQPNEPEKJ EJn=II=PEKJ?KILHATOUJ@NKIAEJ@E=HUOEOL=PEAJPO?=QOAO=J@?KJOAMQAJ?AO
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(505) 7638">=;
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(507) KJAI=NGANOEJPDA@E=CJKOEOKBHKSPQNJKRAN KOPAK@UOPNKLDUEJD=AIK@E=HUOEOL=PEAJPO
(508) "/:2;963+6';+8<:6+8=
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(510) 2DAOLA?PNQIKB>KJA@EOA=OAEJAJ@ OP=CANAJ=H B=EHQNA =JARKHREJC@EOKN@AN
(511) 3.8/B8=
(512). . *KJ@KJ %+ +=NPU ! +=N?D=EO 1( %QANEJ . +APEREAN $ @A 4ANJAFKQH +!
(513) NPANE=H ?=H?Em?=PEKJO =J@ >KJA DEOPKIKNLDKIAPNU EJ AJ@ OP=CA NAJ=H @EOA=OA
(514) 7&9-"/:2;96
(515). .
(516) 2+:=/;. . *KJ@KJ%+ +=N?D=EO1( %QANEJ. KQPKQUNEA. +APEREAN$ @A4ANJAFKQH+!
(517) OOK?E=PEKJ KB >KJA =?PEREPU ?=H?EQI HK=@ =KNPE? OPEBBJAOO =J@ ?=H?Em?=PEKJO EJ #10"
(518) 7&9-"/:2;96
(519). . 5=JJAN! )N=JA4 +=NV5 AP=H
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(522). . 5=JJAN! )N=JA4 +=NV5 AP=H
(523) PKNR=OP=PEJEJL=PEAJPOSEPDPULA@E=>APAO IAHHEPQOQJ@ANCKEJCDAIK@E=HUOEO
(524) "816!/.
(525). . 1=I>NKKG., !DAJ(1 +=N?D*+ AP=H
(526) 1ANQIL=N=PDUNKE@DKNIKJAEO=OOK?E=PA@ SEPDEJ?NA=OA@IKNP=HEPUEJ@ALAJ@AJPKB DU@NKTUREP=IEJ@OP=PQO >KJAI=OO =J@NAJ=HBQJ?PEKJEJPDABN=EH=J@RANUKH@=?KDKNPOPQ@U
(527) 6388.9-;3896!/=+,
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(529) 'JOQHEJOAJOEPEREPUEOEJRANOAHU?KNNAH=PA@SEPD LH=OI=EJP=?PL=N=PDUNKE@DKNIKJAHARAH
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(532) %HQ?KOA EJPKHAN=J?AEO=OOK?E=PA@SEPD=HPANA@?=H?EQIDKIAKOP=OEO=LKOOE>HAHEJG>APSAAJ EJ?NA=OA@ OANQI ?=H?EQI ?KJ?AJPN=PEKJ =J@ ?=N@EKR=O?QH=N @EOA=OA IKNP=HEPU
(533) !/=+,963<7
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(535) $=?PKNO IK@QH=PEJC ?UPKOKHE? ?=H?EQI
(536) 0KHAEJHELE@IAP=>KHEOI=J@?=N@EKR=O?QH=NIKN>E@EPU=J@IKNP=HEPUEJ LANEPKJA=H@E=HUOEOL=PEAJPO
(537) .?$/;3=3+6
(538). . 0=K "1 1DED +1 +KDEJE 0
(539) #BBA?P KB OANQI L=N=PDUNKE@ DKNIKJA =J@ >KJA I=NNKSm>NKOEOKJPDANAOLKJOAPKANUPDNKLKEAPEJEJQNAIE=
(540) "816!/.
(541). . +AUPAO" KCEJ# += "QGAO.. +=OONU1%
(542) #BBA?PKBL=N=PDUNKE@DKNIKJAKJ ANUPDNKLKEAOEO
(543) 6388?/<=
(544). . +=OONU1% HATEASE?V(+ %=?EKJC8 )HEJCAN+
(545) 1A?KJ@=NUDULANL=N=PDUNKE@EOI =J@PDAEIIQJAOUOPAIEJ?DNKJE?NAJ=HB=EHQNA
(546) &/738"/:2;96
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(548) 2DA?D=JCAOEJ?KJPN=?PEHAOP=PQOKBOEJCHA R=O?QH=NOIKKPDIQO?HA?AHHO=J@RAJPNE?QH=N?AHHOEJ@Q?A@>U>.2&
(549) 30/ &-3
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(552) #BBA?P KB L=N=PDUNKE@ DKNIKJA KJ IUK?=N@E=H AJANCU IAP=>KHEOI EJ PDA N=P
(553) 3.8/B 8=
(554). . I=JJ) 2KNJEC( $HA?DPAJI=?DAN! ,=>KGKR +=HH% 0EPV#
(555) HKK@ LNAOOQNA EJ@ALAJ@AJP S=HH PDE?GAJEJC KB EJPN=IUK?=N@E=H =NPANEKHAO EJ ATLANEIAJP=H QN=AIE=ARE@AJ?ABKN=LANIEOOERA=?PEKJKB.2&
(556) "/:2;963+6';+8<:6+8=
(557). . I=JJ) 0EPV#
(558) !=N@E=?@EOA=OAEJ?DNKJE?QNAIE=L=PDKLDUOEKHKCU
(559) .?%/8 %/:6+-/'2/;
(560). . )KO?D+ &=QO>ANC+ 4KNI>NK?G) AP=H
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(562) +;.39?+<-%/<
(563). . -D=N= , &EN=I=POQ ) 1DECAI=POQ 1 AP =H
(564) #BBA?P KB L=N=PDUNKE@ DKNIKJA KJ HABPRAJPNE?QH=N@E=OPKHE?BQJ?PEKJEJL=PEAJPOSEPDLNEI=NUDULANL=N=PDUNKE@EOI
(565) !38/;6/-=;96B=/!/=+,
(566). . 0KOP=J@ 1% "NQAGA 2
(567) .=N=PDUNKE@ DKNIKJA REP=IEJ " =J@ ?=N@EKR=O?QH=N @EOA=OAEJ?DNKJE?NAJ=HB=EHQNA
(568) 3.8/B8=
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(570) ,KNIK?=H?AIE= =J@ LANOEOPAJP AHAR=PA@ OANQI ?KJ?AJPN=PEKJO KB L=N=PDUNKE@ DKNIKJA =BPAN KLAN=PEKJ BKN OLKN=@E? L=N=PDUNKE@ =@AJKI= ARE@AJ?A KB EJ?NA=OA@ IKN>E@EPU BNKI ?=N@EKR=O?QH=N @EOA=OA
(571) *9;6.&>;1
(572). . )=IU?DAR=# 1QJ@OBFKN@( (KN@A0
(573) 1ANQIL=N=PDUNKE@DKNIKJAHARAHOLNA@E?P ?KNKJ=NU DA=NP @EOA=OA PDA 2NKIOK 1PQ@U
(574) >; +;.39?+<- $;/? %/2+,36
(575). . !=JK,( 0KPD& L=NE?EK+ AP=H
(576) +=HJQPNEPEKJEJDAIK@E=HUOEO@E=>APE?L=PEAJPO AR=HQ=PEKJ=J@LNKCJKOPE?EJnQAJ?A
(577) 3.8/B8=
(578). . .QLEI* &AEI>QNCAN- /QNAODE0 'GEVHAN2 1PAJREJGAH.
(579) ??AHAN=PA@HA=J >K@UI=OOHKOOEJEJ?E@AJP?DNKJE?@E=HUOEOL=PEAJPOSEPD@E=>APAOIAHHEPQO
(580) 3.8/B 8=
(581). . "SUAN(2 *=NERA *AQJC( AP=H
(582) NAJQPNEPEKJ=HOP=PQOEJ@E?=PKNO=OOK?E=PA@SEPD IKNP=HEPUEJPDA&AIK@E=HUOEO&#+-1PQ@U3.8/B8=
(583).
(584).
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(586) @UJ=IE?>KJAEJL=PEAJPOSEPD?DNKJE?GE@JAU@EOA=OA
(587) 3.8/B8=. . 1=J?DAV %KJV=HAV+! *KLAV =NA=$ =FK+ 1AHC=O0
(588) 1ANQI=H>QIEJHARAHO .
(589). =J =@@EPEKJ=H B=?PKN EILHE?=PA@ EJ DULANL=N=PDUNKE@EOI KQP?KIA EJ LANEPKJA=H @E=HUOEO = LNKOLA?PERA OPQ@U SEPD L=ENA@ >KJA >EKLOEAO
(590) .? $/;3= 3+6
(591) . !=NHOPA@P # 0E@ABAHP . *EJ@ * 0=OP=@ (
(592) 'JPANHAQGEJ EJ@Q?A@ OQLLNAOOEKJ KB >KREJAL=N=PDUNKE@DKNIKJAOA?NAPEKJ
(593) 39<-3%/:
(594). . ,EAHOAJ .) 0=OIQOOAJ ) QPPANO 0 AP =H
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(596) 39-2/739:2B<%/<977>8
(597). . #HABPANEKQ$ 2=GA@=1 #>ED=N=) AP=H
(598) 1ANQIHALPEJHARAHEO=NACQH=PKNKB>KJA I=OO
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GERELATEERDE DOCUMENTEN
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5) While myocardial infarction represents the most frequent cause of death in the general population, dialysis patients mainly die of sudden cardiac death, which as a single