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Updated: May 21, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Interrelationship between chronic kidney disease and risk of cardiovascular diseases
German T Hernandez1, Michael Sippel, Debabrata Mukherjee
1Texas Tech University Health Sciences Center, Paul Foster School of Medicine, El Paso, Texas 79905, USA.
Insights
Chronic kidney disease (CKD) affects 11% of U.S. adults, leading to high rates of cardiovascular disease. Uremia-related factors contribute significantly to this risk, necessitating aggressive cardiovascular risk reduction strategies for CKD patients.
Area of Science:
- Nephrology
- Cardiology
- Public Health
Background:
- Chronic kidney disease (CKD) impacts approximately 11% of the U.S. population.
- Cardiovascular disease (CVD) poses a significant threat to individuals with CKD, contributing to high morbidity and mortality rates.
- Elevated CVD mortality in CKD persists even after accounting for traditional risk factors, highlighting the role of uremia-related factors.
Purpose of the Study:
- To underscore the complex interplay of traditional and nontraditional, uremia-related risk factors in the pathophysiology of cardiovascular disease within the context of CKD.
- To emphasize the critical need for targeted cardiovascular risk reduction in patients diagnosed with CKD.
Main Methods:
- This study is a review and synthesis of existing research on CKD and cardiovascular disease.
- Analysis of epidemiological data on CKD prevalence and associated cardiovascular outcomes.
- Examination of the pathophysiological mechanisms linking uremia to cardiovascular complications.
Main Results:
- CKD is prevalent, affecting a substantial portion of the U.S. population.
- Cardiovascular complications are a leading cause of death in CKD patients.
- Nontraditional, uremia-related risk factors play a crucial role in CKD-associated cardiovascular disease.
Conclusions:
- The pathophysiology of cardiovascular disease in CKD is multifactorial, involving both traditional and uremia-specific risk factors.
- Aggressive cardiovascular risk management is essential for patients with CKD.
- Further research into uremia-related risk factors may reveal novel therapeutic targets.
Abstract:
An estimated 11% of the U.S. population has chronic kidney disease (CKD). Cardiovascular morbidity and mortality remain high among individuals with CKD and the higher mortality from cardiovascular disease persists even after adjusting for most of the traditional risk factors, suggesting the possible contributions of uremia-related, nontraditional risk factors. This has led to the current understanding that the pathophysiology of cardiovascular disease in CKD involves a complex interplay of both the traditional as well as nontraditional, uremia-related risk factors. Given the high cardiovascular morbidity and mortality, patients with CKD should be a target for aggressive cardiovascular risk reduction.
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