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Updated: May 23, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Biomarkers determining cardiovascular risk in patients with kidney disease
G Siasos1, D Tousoulis, S Michalea
1Department of Biological Chemistry, University of Athens Medical School, Athens, Greece. gsiasos@med.uoa.gr
Insights
Cardiovascular disease (CVD) is a major concern for chronic kidney disease (CKD) patients. This review explores novel biomarkers that predict CVD events and aid treatment monitoring in CKD.
Area of Science:
- Nephrology
- Cardiology
- Biomarker Research
Background:
- Cardiovascular disease (CVD) is the primary cause of premature death in chronic kidney disease (CKD) patients.
- Accelerated CVD in CKD involves classic and non-classic risk factors, leading to endothelial dysfunction, inflammation, oxidative stress, vascular calcification, and volume overload.
- Declining kidney function independently predicts CVD in CKD patients.
Purpose of the Study:
- To review current knowledge on promising biomarkers for CVD in the CKD population.
- To discuss clinical correlations of novel risk factors and biomarkers for CVD in CKD.
- To evaluate the predictive value of these biomarkers for future cardiovascular events and their utility in treatment monitoring.
Main Methods:
- Literature review of recent evidence on CVD biomarkers in CKD.
- Analysis of the correlation between novel risk factors, biomarkers, and clinical outcomes.
- Assessment of the predictive value and therapeutic monitoring applications of identified biomarkers.
Main Results:
- Emerging biomarkers show strong correlations with CVD in CKD patients.
- These biomarkers offer predictive value for cardiovascular events.
- Potential applications in monitoring treatment efficacy are being explored.
Conclusions:
- Novel biomarkers are crucial for understanding and managing CVD in CKD.
- Further research is needed to integrate these biomarkers into clinical practice for improved patient outcomes.
- Biomarker-guided management may enhance CVD prevention and treatment monitoring in CKD.
Abstract:
Cardiovascular disease (CVD) remains the leading cause of premature death in patients with chronic kidney disease (CKD). Recent evidence suggests that the interaction of "classic" and "non-classic" cardiovascular risk factors is an important contributor in excessive and accelerated CVD in patients with CKD. Indeed, the imposing cardiovascular morbidity and mortality of CKD patients corresponds to a significant extent in endothelial dysfunction, inflammation, oxidative stress, vascular calcification and volume overload. In addition, the kidney's function decline is independently associated with CVD in patients with chronic kidney disease. Currently, there is a growing interest in the role of new biomarkers that are closely correlated with CVD in CKD population. In current review, we summarize the so far acquired knowledge of the most promising biomarkers and we discuss the major clinical correlations of novel risk factors and new biomarkers of CVD in CKD patients, their predictive value for future cardiovascular events and their use in the treatment monitoring of this population.
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