UTILIDAD DE LA ELEVACIÓN DE PTH INTACTA COMO PREDICTOR DE EVENTOS CARDIOVASCULARES EN PACIENTES NEFRÓPATAS EN HEMODIÁLISIS, BARRANQUILLA, 2013 UTILITY OF THE ELEVATION OF PTH INTACT AS PREDICTOR OF CARDIOVASCULAR EVENTS INPATIENTS WITH RENAL DISEASE IN HEMODIALISIS, BARRANQUILLA, 2013

Objective: To determine the usefulness of elevated parathyroid hormone as a predictor of cardiovascular events in patients with renal disease on hemodialysis in a renal unit, at Barranquilla 2013. Materials and Methods: Analytical study cohort, retrospective,in the patient population over 18 years old with kid ney disease assisted in a renal unit in Barranquilla, Colombia; included 170 hemodialysis patients to determine which are intact PTH levels and was associated with the occurrence of acute coronary events. To tabulate information use the Epi-Info 3.5.1 program; ,were assessed statistical parameters: average, relative risk , the value of P, Chi square and confidence intervals, the confidence index was 95%. Results: While patients with renal disease on hemodialysis and elevated PTH showed 5,53 coronary events; in the group on hemodialysiswith normal PTH , one patient had a coronary event; p <0.05, relative risk = 5.53, confidence interval = 3.93 < RR <27.36, P = 0.00000001, Chi 2 = 32.01. Conclusions: The elevation of parathyroid hormone is associated with the development of acute coronary events in patients with renal disease on hemodialysis and a concentration of 500 pg / dl or more , is more frequent occurrence of cardiovascular complications