Observational study links higher calcium levels with coronary artery calcification, suggesting ionizedCa assessment for risk stratification.
Higher calcium at hemodialysis initiation was associated with increased coronary calcification. ionizedCa tended to show a more stable linear relationship with CACS than correctedCa, as correctedCa may overestimate ionizedCa in patients with low albumin. Measurement of ionizedCa at dialysis initiation may help refine vascular calcification risk stratification as patients enter the dialysis period.
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Ito et al. (2026) studied this question.
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