Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
January 1, 2007Blood Purification

Effect of N-Acetylcysteine on Endothelial Dysfunction in Dialysis Patients

View Full Paper
Ask AI
Bookmark
Share

Key result

Oral N-acetylcysteine treatment for 6 weeks significantly improved endothelium-dependent vasodilatation (FMD%) from 7.5% to 10.59% (p<0.01) in patients on hemodialysis.

Why the study?

Does oral N-acetylcysteine improve endothelial dysfunction in hemodialysis patients?

Population

30 uremic patients on hemodialysis and 13 healthy controls

Comparison

Oral N-acetylcysteine 600 mg twice daily for 6… vs Baseline measurements and healthy controls

Design

Cohort

Follow-up

6 weeks

Authors

GŞGarip ŞahinAYAhmet YalçınNANevbahar Akçar

Discussion

Loading...

Member takes

Overview

May support endothelial benefit of oral NAC in hemodialysis; hypothesis-generating and requires randomized confirmation.

Study Design

Type

Observational (n=43)

Structured PICO

Does oral N-acetylcysteine improve endothelial dysfunction in hemodialysis patients?

P
Population
30 uremic patients on hemodialysis (age 40 +/- 12 years, 6 males) and 13 healthy controls (35 +/- 9 years, 5 males)
I
Intervention
Oral N-acetylcysteine (NAC) 600 mg twice daily for 6 weeks
C
Comparator
Baseline measurements (before treatment) and healthy controls
O
Outcome
Endothelium-dependent vasodilatation (flow-mediated dilatation; FMD) and endothelium-independent vasodilatation (response to sublingual glyceril trinitrate; GTN) evaluated by high-resolution Doppler ultrasound of brachial arterysurrogate

Main Result

Absolute Event Rate: 10.59% vs 7.5%

p-value: p=<0.01

Oral N-acetylcysteine (1200 mg/day) for 6 weeks significantly improves endothelium-dependent vasodilatation in hemodialysis patients.

Cite This Study

Şahin et al. (2007) conducted an observational in K/DOQI stage 5 chronic kidney disease on hemodialysis (n=43). N-acetylcysteine (NAC) vs. Baseline (before treatment) was evaluated on Endothelium-dependent vasodilatation (flow-mediated dilatation; FMD%) (p=<0.01). Oral N-acetylcysteine treatment for 6 weeks significantly improved endothelium-dependent vasodilatation (FMD%) from 7.5% to 10.59% (p<0.01) in patients on hemodialysis.

synapsesocial.com/papers/6a170fecb13aec50ea6bd1cehttps://doi.org/10.1159/000106103
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1N-Acetylcysteine Improves Arterial Vascular Reactivity in Patients with Chronic Kidney Disease2009 · 18 citations
  2. 2Impairment of Vascular Responses to Reactive Hyperemia and Nitric Oxide in Chronic Renal Failure2002 · 18 citations
  3. 3Hemodialysis improves endothelial venous function in end-stage renal disease2008 · 12 citations
  4. 4N-acetylcysteine for treatment of anemia in children with kidney failure: a prospective study2025 · 1 citations
  5. 5Hemodialysis Impairs Endothelial Function via Oxidative Stress2000 · 232 citations