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Updated: Apr 11, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
[Dyslipidemia and stroke in patients with chronic kidney disease]
Insights
Chronic kidney disease (CKD) causes dyslipidemia, increasing cardiovascular risks. This review examines CKD-related lipid changes and treatments, focusing on hypolipidemic drugs to reduce stroke risk in kidney patients.
Area of Science:
- Nephrology
- Cardiology
- Metabolic Disorders
Background:
- Altered lipid and lipoprotein metabolism is a hallmark of chronic kidney disease (CKD).
- Dyslipidemia persists across all stages of kidney disease, including dialysis and transplantation.
- These lipid abnormalities accelerate atherosclerosis, leading to high rates of cardiovascular disease and stroke.
Purpose of the Study:
- To review the pathogenesis of dyslipidemia in chronic kidney disease.
- To analyze lipid abnormalities in predialysis, hemodialysis, and peritoneal dialysis patients.
- To report on the efficacy of hypolipidemic drugs in reducing stroke morbidity and mortality in CKD patients.
Main Methods:
- Literature review of studies on lipid metabolism in CKD.
- Analysis of lipid profiles in predialysis, hemodialysis, and peritoneal dialysis populations.
- Examination of clinical trial data on hypolipidemic agents and cardiovascular outcomes.
Main Results:
- CKD-induced dyslipidemia involves complex changes in lipoprotein structure and function.
- Dyslipidemia is a significant contributor to cardiovascular disease and stroke in CKD patients.
- Hypolipidemic drug studies provide insights into managing stroke risk.
Conclusions:
- CKD-associated dyslipidemia is a complex multifactorial condition.
- Effective management of lipid abnormalities is crucial for reducing cardiovascular events in CKD.
- Targeted therapies, including hypolipidemic drugs, are essential for improving outcomes in kidney disease patients.
Abstract:
Altered lipid and lipoprotein metabolism occurs in patients with chronic kidney disease (CKD). Dyslipidemia persists in patients on chronic hemodialysis orperitoneal dialysis and even in renal transplant recipients, and contributes to accelerated atherosclerosis but may also contribute to the progression of kidney disease as well. The etiologies of altered lipid profile in patients with CKD, dialysis, and renal transplant recipients are complex because there are profound changes in the structure and function of lipoprotein and lipid molecules, which lead to accelerated atherosclerosis, cardiovascular disease and stroke. Cardiovascular disease and stroke are the major cause of morbidity and mortality in patients with impaired renal function. In this review, the pathogenesis and treatment of CKD-induced dyslipidemia are discussed. Studies on lipid abnormalities in predialysis, hemodialysis and peritoneal dialysis patients are analyzed. In addition, results of the studies that tested the effects of hypolipidemic drugs on stroke morbidity and mortality in patients with CKD are reported.
Related Concept Videos
Chronic Kidney Disease II: Clinical Manifestations
Chronic Kidney Disease III: Interprofessional Care
Chronic Kidney Disease I: Introduction
Chronic Kidney Disease IV: Nursing Management
Lipid-Lowering Drugs: Statins and Miscellaneous Agents
Acute Kidney Injury IV: Diagnostic Studies and Prevention

