Abstract
Phosphorus-calcium homeostasis is regulated by parathyroid hormone (PTH). A primary (parathyroid gland adenoma or hyperplasia) or secondary (chronic renal failure or vitamin D deficiency) excess of this hormone or a PTH defect (hypoparathyroidism) has deleterious effects on the heart and vascular system. In this chapter the different disorders and their effects on the cardiovascular system are reviewed.
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Abbreviations
- FGF23/klotho system :
-
is a system that maintains phosphate homeostasis.
- Fibroblast growth factor-23 (FGF23):
-
is secreted from bone, and it promotes phosphate excretion.
- Klotho:
-
is a membrane-bound protein expressed in renal tubules and an obligate co-receptor to activate FGF receptors.
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Further Reading
Pilz S, Tomaschitz A, Marz W, Drechsler C, Ritz E, Zittermann A, Cavalier E, Pieber TR, Lappe JM, Grant WB, Holick MF, Dekker JM (2011) Vitamin D, cardiovascular disease and mortality. Clinical Endocrinology 75:575–584
Tomaschitz A, Rits E, Pieske B, Fahrleitner-Pammer A, Kienreich K, Horina JH, Drechsler C, Mðrz W, Ofner M, Pieber TR, Pilz S (2012) Aldosterone and parathyroid hormone: a precarious couple for cardiovascular disease
Wysolmerski J (2012) Parathyroid Hormone-Related Protein: An Update. J Clin Endocrinol Metab 97:2947–2956
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Sánchez, R.M., Wägner, A.M. (2015). Parathyroid Hormone Dysfunction. In: Lanzer, P. (eds) PanVascular Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37078-6_175
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DOI: https://doi.org/10.1007/978-3-642-37078-6_175
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