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Detection of cardiovascular calcifications: Is it a useful tool for nephrologists?
Jordi Bover1, José Luis Górriz2, Pablo Ureña-Torres3
1Servicio de Nefrología, Fundació Puigvert, IIB Sant Pau, RedinRen, Barcelona, España.
Insights
Cardiovascular calcification in chronic kidney disease (CKD) is a key predictor of adverse outcomes. Assessing this calcification aids nephrologists in personalizing patient treatment and improving clinical decisions.
Area of Science:
- Nephrology
- Cardiology
- Biomedical Science
Background:
- Chronic kidney disease (CKD) serves as a model for understanding cardiovascular (CV) calcification.
- CV calcification is a late, secondary ossification phenomenon with significant clinical implications in CKD patients.
Purpose of the Study:
- To review the types of CV calcification in CKD patients.
- To analyze the association between CV calcification and adverse CV events and mortality.
- To justify the routine assessment of CV calcification in nephrology practice.
Main Methods:
- Comprehensive literature review.
- Analysis of existing data on CV calcification in CKD.
- Evaluation of the clinical relevance of CV calcification assessment.
Main Results:
- CV calcification is directly linked to increased CV events and mortality in CKD.
- Assessment of CV calcification is a crucial predictor of clinical outcomes.
- CV calcification assessment can guide personalized therapeutic strategies.
Conclusions:
- CV calcification is a significant factor in CKD patient outcomes.
- Nephrologists should incorporate CV calcification assessment into routine practice.
- Personalized treatment approaches are enhanced by understanding CV calcification.
Abstract:
Chronic kidney disease (CKD) has been used as a model and source of knowledge concerning the mechanisms, clinical relevance and accelerated progression of cardiovascular (CV) calcification, as well as its consequences in clinical practice, despite we know that it is a late secondary ossification phenomenon and only circumstantial evidence is available. In this comprehensive review, we firstly describe the types of CV calcification which affect CKD patients, and we analyse how its presence is directly associated with CV events and increased mortality in these patients. We also justify the use of CV calcification assessment in regular nephrology clinical practice, because CV calcification is an important predictor of clinical outcome in these patients. Consequently, we believe that CV calcification assessment is a tool that could and should be used by nephrologists when making a decision concerning individual patients, consistent with the current trend of an ever-more-personalised therapeutic approach.
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