Infections and cardiovascular disease in patients with chronic kidney disease

Robert N Foley1

  • 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.

Related Concept Videos

Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of fluid...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...