Osteoporosis, bone & mineral

Reassuring Data on the Cardiovascular Risk in Adults With X-linked Hypophosphatemia Receiving Conventional Therapy

J Clin Endocrinol MetabPublished Retrospective observational study

An erratum to this article was published (J Clin Endocrinol Metab, 18 Jan 2024 ↗)

Authors' conclusion

We found no elevated risk of developing hypertension or LVH in patients with XLH.

Study context

Population
Adults with X-linked hypophosphatemia (XLH), local single-centre cohort
Participants
22 adults
Outcome
Composite of:
  • Frequency of LVH
  • Presence of high blood pressure
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Hypertensive

9%

No left ventricular hypertrophy (LVH)

69%

Left ventricular mass >100 g/m²

1 patient

Median blood pressure

124 (115-130)/68 (65-80) mm Hg

Observational data: associations, not effects.

Secondary outcomes

Left ventricular remodeling

Patients with left ventricular remodeling
25%

Pulse wave velocity

Pulse wave velocity was normal in all patients

Serum phosphate

Median serum phosphate (mmol/L)
0.57 (0.47-0.72)

FGF23

Median FGF23 (pg/L)
94 (58-2226)

Skin and muscle sodium content by sodium MRI before and after burosumab (2 patients)

No differences in skin and muscle sodium content before and after burosumab

Original publication

Reassuring Data on the Cardiovascular Risk in Adults With X-linked Hypophosphatemia Receiving Conventional Therapy. J Clin Endocrinol Metab. Published 16 October 2023. doi:10.1210/clinem/dgad608

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