Related Experiment Video
Updated: Jul 20, 2026

A Mouse 5/6th Nephrectomy Model That Induces Experimental Uremic Cardiomyopathy
Published on: November 7, 2017
Anemia and the heart in chronic kidney disease
Nadia Zalunardo1, Adeera Levin
1Kidney Foundation of Canada, Clinical Investigator Program, Vancouver, British Columbia, Canada.
Insights
Anemia is a significant cardiovascular risk factor in chronic kidney disease (CKD), contributing to heart abnormalities. Correcting anemia may improve cardiac outcomes in CKD patients.
Area of Science:
- Nephrology
- Cardiology
- Internal Medicine
Background:
- Cardiovascular disease (CVD) is the primary cause of death in chronic kidney disease (CKD) patients.
- CKD patients exhibit numerous traditional and nontraditional CVD risk factors.
- Anemia, a nontraditional risk factor in CKD, promotes cardiac structural changes like left ventricular hypertrophy.
Purpose of the Study:
- To review observational data linking anemia to adverse cardiac outcomes in all stages of CKD.
- To summarize randomized controlled trial evidence on anemia correction and cardiac outcomes in CKD.
Main Methods:
- Review of observational studies on anemia and cardiac outcomes in CKD.
- Analysis of randomized controlled trials in dialysis and nondialysis CKD populations.
Main Results:
- Observational studies consistently show an association between anemia and poor cardiac outcomes in CKD.
- Evidence from randomized controlled trials is emerging regarding the impact of anemia correction on cardiac structure.
Conclusions:
- Anemia is a critical factor in CKD-related cardiovascular complications.
- Further research is needed to fully understand the benefits of anemia correction on cardiac health in CKD.
Abstract:
Cardiovascular disease is highly prevalent at all stages of chronic kidney disease (CKD) and is the leading cause of morbidity and mortality. Individuals with CKD commonly have multiple risk factors for the development of cardiovascular disease, including both traditional and nontraditional risk factors. Anemia is a nontraditional cardiovascular risk factor found in CKD that contributes to the development and progression of structural abnormalities of the heart, namely left ventricular hypertrophy and dilation. In addition, a deficiency of erythropoietin per se also may have important pathophysiologic consequences. In this review we summarize the evidence from observational studies showing an association between anemia and adverse cardiac outcomes at all stages of CKD. In addition, we provide an overview of the evidence accumulating from randomized controlled trials conducted in both nondialysis and dialysis CKD populations evaluating the effect of anemia correction on cardiac outcomes such as changes in left ventricular hypertrophy.
Related Concept Videos
Chronic Kidney Disease II: Clinical Manifestations
Chronic Kidney Disease IV: Nursing Management
Chronic Kidney Disease I: Introduction
Chronic Kidney Disease III: Interprofessional Care
Heart Failure VI: Adjunct Therapies
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
