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Updated: Jun 29, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Cardiac biomarkers and chronic renal diseases
I Valocikova1, B Kristofova, G Valocik
11st Department of Internal Medicine, University Hospital, Safarikiensis University, Kosice, Slovakia. irosochova@hotmail.com
Insights
Patients with chronic kidney disease face higher risks of cardiovascular events. Biomarkers like C-reactive protein and troponin can predict mortality in these patients.
Area of Science:
- Nephrology
- Cardiology
- Biomarkers
Background:
- Accelerated atherosclerosis is common in chronic renal failure, increasing cardiovascular disease risk.
- A significant link exists between kidney disease and cardiac conditions, leading to higher morbidity and mortality.
- Biomarkers are crucial for predicting outcomes in patients with kidney disease.
Purpose of the Study:
- To evaluate individual biomarkers for predicting outcomes in patients with chronic kidney disease.
- To identify key predictors of cardiovascular and all-cause mortality in end-stage renal disease.
Main Methods:
- Evaluation of various individual biomarkers.
- Analysis of markers for myocardial necrosis (troponin T/I).
- Assessment of heart failure markers (B-type natriuretic peptide), inflammation (C-reactive protein), and nitric oxide inhibition (asymmetric dimethylarginine).
Main Results:
- Increased concentrations of C-reactive protein, B-type natriuretic peptide, asymmetric dimethylarginine, and troponin were observed.
- These elevated markers predict a high risk of cardiovascular mortality.
- The identified biomarkers also predict mortality from other causes in chronic renal failure patients.
Conclusions:
- Specific biomarkers effectively predict adverse outcomes in patients with chronic kidney disease.
- Monitoring these biomarkers can help identify high-risk individuals with end-stage renal disease.
- Early identification of risk through biomarkers may inform clinical management strategies.
Abstract:
Accelerated atherosclerosis can lead to an increased prevalence of coronary artery disease, heart failure, brain stroke and peripheral arterial disease. Thus, subjects with chronic renal failure are exposed to increased morbidity and mortality from cardiovascular events. A strong and pervasive link exists between kidney failure and cardiac disease. A variety of individual biomarkers have been evaluated and several have been found to successfully predict the outcome in patients with kidney disease. These include markers of myocardial necrosis, such as cardiac troponin T and I, markers of heart failure, such as B-type of natriuretic peptide and its associated inactive N-terminal fragment, markers of systemic inflammation--C-reactive protein, and an endogenous inhibitor of nitric oxide synthase-asymmetric dimethyl arginin. Increased concentrations of C-reactive protein, B-type of natriuretic peptide, asymmetric dimethyl arginine, and troponin predict a high risk of cardiovascular mortality as well as a mortality due to other causes in patients with chronic renal failure or end stage renal disease (Tab. 1, Ref. 33). Full Text (Free, PDF) www.bmj.sk.
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