Cardiorenal risk factors

Barry M Wall1

  • 1Veterans Affairs Medical Center and University of Tennessee Health Science Center, Memphis, Tennessee 38104, USA. Barry.Wall@va.gov

Insights

Chronic kidney disease (CKD) significantly increases cardiovascular risk. Early assessment of glomerular filtration rate and albuminuria aids in stratifying patient risk for better cardiovascular outcomes.

Area of Science:

  • Nephrology
  • Cardiology
  • Public Health

Background:

  • Chronic kidney disease (CKD) is increasingly prevalent, affecting approximately 11% of the U.S. population.
  • CKD is linked to impaired cardiac function and structure, known as chronic renocardiac syndrome.
  • This syndrome elevates the risk of adverse cardiovascular events.

Purpose of the Study:

  • To highlight the association between CKD and adverse cardiovascular outcomes.
  • To emphasize the importance of CKD markers in risk stratification.
  • To advocate for the inclusion of CKD assessment in routine patient evaluation.

Main Methods:

  • Review of numerous studies demonstrating the link between CKD and adverse outcomes.
  • Analysis of CKD definition based on glomerular filtration rate and albuminuria.
  • Consideration of cost-effectiveness for diagnostic markers.

Main Results:

  • CKD, defined by reduced glomerular filtration rate and/or albuminuria, is consistently associated with adverse cardiovascular and renal outcomes.
  • These markers are readily available with minimal cost.

Conclusions:

  • Albuminuria and glomerular filtration rate are crucial indicators for cardiovascular risk stratification.
  • Integrating CKD assessment with traditional cardiovascular risk factors can improve patient management.
  • Early identification and management of CKD are vital for preventing cardiovascular complications.

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