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Updated: Jul 6, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Use of cardiac biomarkers in end-stage renal disease
Angela Yee-Moon Wang1, Kar-Neng Lai
1University Department of Medicine, Queen Mary Hospital, University of Hong Kong, 102 Pok Fu Lam Road, Hong Kong. aymwang@hku.hk
Insights
Patients with end-stage renal disease (ESRD) face high cardiovascular risks. This review explores B-type natriuretic peptide and cardiac troponin T as biomarkers to help manage this risk.
Area of Science:
- Nephrology
- Cardiology
- Biomarker Discovery
Background:
- End-stage renal disease (ESRD) is associated with significantly high mortality rates.
- Cardiovascular disease (CVD) is the primary cause of death in ESRD patients, driven by high rates of cardiac hypertrophy, cardiomyopathy, heart failure, and coronary artery disease.
Purpose of the Study:
- To review the current evidence on the role and utility of B-type natriuretic peptide and cardiac troponin T.
- To assess the potential of these biomarkers in profiling and stratifying cardiovascular risk in ESRD patients.
Main Methods:
- Review of existing scientific literature and clinical evidence.
- Analysis of the diagnostic and prognostic value of B-type natriuretic peptide and cardiac troponin T.
Main Results:
- B-type natriuretic peptide and cardiac troponin T show promise as emerging cardiac biomarkers.
- These biomarkers may complement echocardiography in cardiovascular risk assessment for ESRD patients.
Conclusions:
- B-type natriuretic peptide and cardiac troponin T can aid in managing cardiovascular risk in ESRD.
- These biomarkers may improve clinical decision-making and patient outcomes in this high-risk population.
Abstract:
Mortality among patients with ESRD remains high because of an excessive cardiovascular risk related to a very high incidence of cardiac hypertrophy, cardiomyopathy, heart failure, and coronary artery disease. Identifying serum biomarkers that are useful in profiling cardiovascular risk and enabling stratification of early mortality and cardiovascular risk is an important goal in the treatment of these patients. This review examines current evidence pertaining to the role and utility of two emerging cardiac biomarkers, B-type natriuretic peptide and cardiac troponin T, in patients with ESRD. Together, these data demonstrate how these two cardiac biomarkers may play an adjunctive role to echocardiography in assessing cardiovascular risk and how they may aid in the clinical treatment of these patients.
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