Related Experiment Video
Updated: Jun 20, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Cardiovascular disease in patients with chronic kidney disease
Julian Wright1, Alastair Hutchison
1Manchester Institute of Nephrology and Transplantation, Manchester Royal Infirmary, Manchester, UK.
Insights
Patients with chronic kidney disease (CKD) face high cardiovascular risks. Addressing these risks early is crucial for preventing premature death, even if end-stage renal failure is not imminent.
Area of Science:
- Nephrology
- Cardiology
- Public Health
Background:
- Patients with chronic kidney disease (CKD) exhibit disproportionately high rates of cardiovascular morbidity and mortality.
- Traditional cardiovascular risk factors inadequately explain the elevated cardiovascular disease (CVD) incidence in CKD.
- Renal dysfunction introduces additional risk factors contributing to CVD in CKD patients.
Purpose of the Study:
- To review epidemiological evidence on cardiovascular risk in CKD.
- To discuss common cardiovascular risk factors specific to CKD.
- To propose potential treatment strategies and identify research gaps.
Main Methods:
- Review of existing epidemiological studies on CKD and CVD.
- Analysis of established and CKD-specific cardiovascular risk factors.
- Synthesis of current and potential therapeutic interventions.
Main Results:
- CKD is independently associated with significantly increased cardiovascular risk.
- Multiple factors beyond traditional risks contribute to CVD in CKD.
- Early intervention targeting cardiovascular risk is vital for CKD patient outcomes.
Conclusions:
- CKD management must prioritize cardiovascular risk reduction.
- Further research is needed to elucidate mechanisms and optimize treatments for CVD in CKD.
- A multi-faceted approach is necessary to mitigate the cardiovascular burden in CKD.
Abstract:
Patients with chronic kidney disease have a high burden of cardiovascular morbidity and mortality. The vast majority of patients with chronic kidney disease do not progress to end stage renal failure, but do have a significantly higher incidence of all cardiovascular co-morbidities. Traditional cardiovascular risk factors only partially account for this increased incidence of cardiovascular disease. In patients with kidney disease the basic biology underlying cardiovascular disease may be similar to that in patients without kidney disease, but it would seem many more risk factors are involved as a consequence of renal dysfunction. Although emphasis is placed on delaying the progression of chronic kidney disease, it must be appreciated that for many patients it is vital to address their cardiovascular risk factors at an early stage to prevent premature cardiovascular death. This review examines available epidemiological evidence, discusses common cardiovascular risk factors in patients with chronic kidney disease, and suggests possible treatment strategies. Potential areas for important research are also described.
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
Diabetic Nephropathy
Heart Failure Drugs: Diuretics
