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Assessment of Vascular Function in Patients With Chronic Kidney Disease
08:50

Assessment of Vascular Function in Patients With Chronic Kidney Disease

Published on: June 16, 2014

[Cardiovascular disease and chronic kidney disease: from treatment to promoting health]

S van der Zee1, V Fuster

  • 1The Zena and Michael A. Wiener Cardiovascular Institute and Marie-Josée and Henry R. Kravis Cardiovascular Health Center, The Mount Sinai School of Medicine, New York, NY 10029, USA.

Medicina Clinica
|May 23, 2009
PubMed

Insights

Screening for chronic kidney disease (CKD) is vital in patients with cardiovascular disease or risk factors like hypertension and diabetes. Early identification and prevention strategies are crucial to combat the growing global epidemic of CKD.

Area of Science:

  • Nephrology
  • Cardiology
  • Public Health

Context:

  • Chronic kidney disease (CKD) is strongly linked to adverse cardiovascular outcomes.
  • Cardiovascular disease patients and those with risk factors (hypertension, diabetes) require CKD screening.
  • Global rise in CKD presents significant economic challenges.

Purpose:

  • To emphasize the necessity of screening for CKD in at-risk populations.
  • To advocate for integrated strategies in CKD prevention and management.
  • To propose expanding global health goals to include chronic diseases like CKD.

Summary:

  • Screening for CKD should utilize estimated glomerular filtration rate and urine albumin-to-creatinine ratio.
  • Comprehensive prevention programs must assess lifestyle factors (tobacco, diet, exercise), BMI, blood pressure, lipids, glucose, and cancer screening.
  • A shift from treating renal failure to aggressive primary and secondary prevention is essential.

Impact:

  • Highlights the urgent need for proactive CKD identification and management.
  • Promotes a holistic approach to disease prevention, integrating CKD with other chronic conditions.
  • Calls for global health initiatives to address the escalating burden of CKD and related diseases.

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