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Updated: May 16, 2026

Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients
Published on: April 18, 2025
[Echocardiography in nephrology]
Luca Di Lullo1, Antonio Granata, Francesco Logias
1U.O.C. Nefrologia e Dialisi, Ospedale L. Parodi Delfino, Colleferro, Italy. dilullo.luca@inwind.it
Insights
Cardiovascular disease is a major concern for chronic kidney disease (CKD) patients. Nephrologists can help manage risks like hypertension and anemia through echocardiography, improving patient outcomes.
Area of Science:
- Nephrology and Cardiology
- Cardiovascular Medicine
Background:
- Cardiovascular disease (CVD) is the primary cause of morbidity and mortality in chronic kidney disease (CKD) patients.
- CKD patients face multiple risk factors for CVD, including hypertension, anemia, left ventricular hypertrophy, cardiac failure, and dyslipidemia, significantly increasing their cardiovascular risk compared to the general population.
Purpose of the Study:
- To highlight the critical role of nephrologists in preventing and managing cardiovascular disease in CKD patients.
- To emphasize the importance of echocardiography training for nephrologists to facilitate early screening and referral of CKD patients at high cardiovascular risk.
Main Methods:
- Review of risk factors contributing to cardiovascular disease in CKD.
- Discussion of echocardiography as a noninvasive diagnostic tool.
- Emphasis on the need for specialized training and certification in echocardiography for nephrologists.
Main Results:
- Integrated management by nephrologists can delay CKD progression.
- Echocardiography enables early detection of cardiac abnormalities in CKD patients.
- Nephrologists with echocardiography skills can effectively screen patients for cardiovascular risk.
Conclusions:
- Nephrologists play a vital role in managing cardiovascular risk factors in CKD patients.
- Training nephrologists in echocardiography is crucial for early cardiovascular risk assessment and management.
- Collaboration between nephrologists and cardiologists is essential for optimal patient care, with nephrologists focusing on screening and initial management.
Abstract:
Cardiovascular disease is the main cause of mordibity and mortality in patients with chronic kidney disease (CKD) affected by a series of risk factors (hypertension, anemia, left ventricular hypertrophy, cardiac failure and dyslipidemia). The combined presence of these factors raises the cardiovascular risk in CKD patients considerably compared with that of the general population. Nephrologists can play a role in preventing and treating these risk factors and thereby delaying the development of CKD. In preventing CKD, nephrologists who practice ultrasound techniques should have basic know how of echocardiography so that they can screen CKD patients for early referral to a cardiologist. Echocardiography is a noninvasive ultrasound technique that requires adequately trained doctors to perform it. Nephrologists who practice it need to obtain good training and postgraduate certification of competence in echocardiography. These nephrologists should team up with cardiologists rather than replace them, and at the same time be aware that they possess the basic knowledge to manage cardiovascular disease in CKD patients.
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