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Updated: May 26, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Recognizing the link between chronic kidney disease and cardiovascular disease
1Division of Nephrology, University of Maryland, School of Medicine, Baltimore, MD, USA. mweir@medicine.umaryland.edu
Insights
Chronic kidney disease (CKD) significantly increases cardiovascular disease (CVD) risk and mortality. This heightened risk is linked to both traditional CVD factors and CKD-specific complications, impacting overall patient outcomes.
Area of Science:
- Nephrology
- Cardiology
- Public Health
Background:
- Chronic kidney disease (CKD) prevalence is increasing in the United States.
- Cardiovascular disease (CVD) occurs at higher rates in CKD patients compared to the general population.
- The impact of CVD in CKD is significant and inversely related to kidney function.
Purpose of the Study:
- To highlight the elevated risk of CVD and mortality in patients with CKD.
- To examine the contribution of traditional and CKD-related factors to CVD events and death.
Main Methods:
- Review of epidemiological data on CKD and CVD prevalence.
- Analysis of risk factors associated with increased CVD events in CKD patients.
- Examination of CKD-specific factors contributing to mortality.
Main Results:
- CKD is associated with increased risk of CVD, CVD events, and death.
- Traditional CVD risk factors (proteinuria, hypertension, dyslipidemia, diabetes) are more prevalent in CKD patients.
- CKD-related factors like anemia and vascular calcification also contribute to mortality.
Conclusions:
- CKD significantly elevates cardiovascular risk and mortality.
- Both traditional and CKD-specific factors drive the increased CVD burden in these patients.
- Effective management of CKD and its complications is crucial for reducing cardiovascular events and improving survival.
Abstract:
The prevalence of chronic kidney disease (CKD) is rising in the United States, and cardiovascular disease (CVD) is increasingly recognized to occur at elevated rates in patients with CKD compared with the general population. The impact of CVD in patients with CKD is significant, inversely related to the level of kidney function, and exaggerated when compared with matched patients without CKD. CKD is associated with an increased risk of CVD, CVD events, and death, but the prevalence of traditional CVD risk factors is also increased compared with the general population. Proteinuria, hypertension, dyslipidemia, and diabetes are common in patients with CKD and contribute directly to CVD events. CKD-related factors (eg, disorders of electrolyte and mineral metabolism, anemia, and vascular calcification) also contribute to mortality associated with CKD.
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