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Updated: Aug 7, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Infections and cardiovascular disease in patients with chronic kidney disease
1Chronic Disease Research Group, University of Minnesota, Minneapolis, MN 55404, USA. RFoley@cdrg.org
Insights
Major infections are linked to cardiovascular events in dialysis patients. Further research is needed to explore the prognostic implications of infections in non-dialysis chronic kidney disease (CKD) patients.
Area of Science:
- Nephrology
- Cardiology
- Infectious Diseases
Background:
- Growing interest in the chronic kidney disease (CKD) and cardiovascular disease (CVD) link.
- Limited research on CKD-related infections despite links between inflammation, kidney, and heart disease.
- Major infections like pneumonia and septicemia are inflammatory states linked to cardiovascular events in dialysis patients.
Purpose of the Study:
- To highlight the modest research activity in CKD-related infections.
- To underscore the association between infections and cardiovascular events in dialysis patients.
- To investigate the prognostic implications of major infections in non-dialysis CKD patients.
Main Methods:
- Review of existing literature on CKD, CVD, and infections.
- Analysis of epidemiological data on infection rates in CKD populations.
- Exploration of the prognostic impact of infections on cardiovascular outcomes.
Main Results:
- Significant increase in research on CKD and CVD nexus.
- Modest research activity concerning CKD-related infections.
- Established link between major infections and adverse cardiovascular events/mortality in dialysis patients.
- Higher hospitalization rates for infections in non-dialysis CKD patients compared to the general population.
Conclusions:
- The association between major infections and cardiovascular events is well-documented in dialysis patients.
- The prognostic implications of infections in non-dialysis CKD patients remain largely unexplored.
- Further research is warranted to understand the impact of infections on cardiovascular outcomes in the broader CKD population.
Abstract:
Although interest in the nexus of cardiovascular disease and chronic kidney disease (CKD) has mushroomed, especially in the in past 5 years, activity in the arena of CKD-related infection has been much more modest. This development is surprising when one considers the increasing evidence that links inflammation, kidney disease, and cardiovascular disease. Also, major infections, such as pneumonia and septicemia, are paradigmatic inflammatory states, and accumulating evidence indicates that they are a common antecedent of new cardiovascular events in dialysis patients. Major infections are associated with higher rates of cardiovascular events and death in dialysis patients, and similar associations have been observed in community settings. Although recent studies suggest that hospitalization for major infections is much more common in nondialysis CKD than in the general population, the prognostic implications remain unexplored.
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