Related Experiment Video
Updated: Jun 24, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Cardiovascular changes in renal failure
1Department of Pathology, University of Erlangen, Germany.
Insights
Patients with renal failure face a significantly higher risk of cardiovascular complications, with cardiac death being the leading cause. This review details the structural heart and blood vessel changes contributing to this increased risk.
Area of Science:
- Nephrology
- Cardiology
- Pathology
Background:
- Cardiovascular complications are a major clinical issue in renal failure patients.
- Cardiac death is the primary cause of mortality in this population.
- Uremic patients exhibit a 20-fold increased cardiac risk compared to the general population.
Purpose of the Study:
- To review the structural cardiac and vascular changes in renal failure.
- To explore the functional repercussions of these changes on cardiovascular health.
- To elucidate the contribution of these abnormalities to high cardiovascular morbidity and mortality.
Main Methods:
- Literature review focusing on structural and metabolic abnormalities of the myocardium and vasculature in renal failure.
- Analysis of the impact of these changes on cardiovascular function.
- Synthesis of evidence linking structural changes to clinical outcomes.
Main Results:
- Renal failure is associated with well-documented structural and metabolic abnormalities in the heart.
- These cardiac abnormalities include changes in the myocardium and vasculature.
- These structural alterations significantly impact cardiovascular function.
Conclusions:
- Structural changes in the heart and vasculature are key contributors to cardiovascular morbidity and mortality in renal failure.
- Understanding these changes is crucial for managing cardiovascular risk in these patients.
- Further research into mitigating these structural abnormalities could improve patient outcomes.
Abstract:
In patients with renal failure cardiovascular complications are an important clinical problem and cardiac death is the main cause of death in these patients. It is well documented that cardiac risk is increased by a factor of 20 in uremic patients compared with age- and sex-matched segments of the general population. This finding in patients with renal failure can be at least partially explained by the well-described structural and metabolic abnormalities of the myocardium. The present article focuses on the structural changes in the heart and the vasculature and their potential repercussions for cardiovascular function, in particular their contribution to the high cardiovascular morbidity and mortality in patients with renal failure.
Related Concept Videos
Heart Failure Drugs: Diuretics
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Renal Failure: Dose Adjustments
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Heart Failure II: Pathophysiology
Chronic Kidney Disease II: Clinical Manifestations
Chronic Kidney Disease IV: Nursing Management

