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Of heart and kidney: a complicated love story
Dan Gaita1, Adelina Mihaescu2, Adalbert Schiller1
1"Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania.
Insights
Chronic kidney disease (CKD) significantly increases cardiovascular disease (CVD) risk. Managing CKD patients requires specialized approaches due to unique CVD challenges in this population.
Area of Science:
- Nephrology
- Cardiology
- Internal Medicine
Background:
- Chronic kidney disease (CKD) affects approximately 7% of the population.
- CKD is a major independent risk factor for cardiovascular disease (CVD).
- Diabetes and hypertension are the primary global causes of CKD.
Purpose of the Study:
- To highlight the intricate relationship between cardiovascular and renal systems.
- To underscore the elevated risk of CVD in CKD patients.
- To address the complexities in preventing and treating CVD in individuals with CKD.
Main Methods:
- Literature review on cardiovascular and renal medicine.
- Analysis of CKD prevalence and its link to CVD.
- Examination of specific CVD characteristics in CKD patients.
Main Results:
- CKD prevalence is comparable to diabetes.
- CVD prevalence in CKD patients varies widely (7-85%) by stage and type.
- CKD patients face a higher mortality risk from CVD than from kidney failure.
Conclusions:
- The interplay between cardiovascular and renal health is complex.
- CKD presents unique challenges for cardiovascular care.
- Multidisciplinary collaboration between cardiologists and nephrologists is crucial for effective management.
Abstract:
The multiple connections that exist between the cardiovascular system and the kidney lead to a complex cardiovascular and renal medicine relationship. It is well established in the literature that chronic kidney disease (CKD) is an important and independent risk factor for cardiovascular disease (CVD). The prevalence of CKD in the general population is about 7%, comparable with the prevalence of diabetes. The main causes of CKD are diabetes and hypertension, worldwide. The prevalence of CVD in the CKD population ranges between 7 and 85% according to the CKD stage and type, and the patient diagnosed with CKD has a higher risk of dying of CVD than of starting renal replacement therapy. There are some particular aspects of CVD in CKD patients that differ from the general population, making its prevention and treatment a challenge for both cardiologists and nephrologists.
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