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Cardiorenal risk factors
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.
Abstract:
The chronic renocardiac syndrome, in which chronic kidney disease (CKD) contributes to impairment of cardiac function or structure, is associated with an increased risk of adverse cardiovascular events. The prevalence of CKD in the U.S. population is approximately 11% and has been increasing over time. Numerous studies have demonstrated an association of CKD, defined by the presence of reduced glomerular filtration rate and/or albuminuria with adverse cardiovascular and renal outcomes. These data suggest that both albuminuria and glomerular filtration rate, which can be performed with minimally increased costs, should be included in the assessment of risk stratification for individual patients, in addition to traditional cardiovascular risk factors.
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