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Updated: Feb 14, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Arterial Stiffness in Chronic Kidney Disease and End-Stage Renal Disease
Insights
Patients with chronic kidney disease (CKD) experience accelerated aging, specifically premature vascular aging and arterial stiffening. This condition significantly increases risks for cardiovascular issues and mortality.
Area of Science:
- Nephrology
- Cardiology
- Gerontology
Background:
- Chronic kidney disease (CKD) is linked to accelerated aging, termed
- progeria
- in patients.
- Premature vascular aging and arterial stiffening are key features, evident even in early CKD stages.
Purpose of the Study:
- To investigate the link between chronic kidney disease and accelerated vascular aging.
- To understand the implications of arterial stiffening in CKD patients.
Main Methods:
- The study focuses on observational data regarding arterial properties in CKD patients.
- Analysis of vascular aging markers and arterial stiffness in relation to CKD progression.
Main Results:
- Accelerated aging and arterial stiffening are prominent in CKD patients.
- Aortic stiffening correlates with adverse cardiovascular outcomes, including mortality and morbidity.
- Arterial stiffness gradient changes in CKD impact microcirculation protection.
Conclusions:
- CKD significantly accelerates vascular aging, leading to arterial stiffening.
- Systemic microinflammation and vascular calcification are key contributors to arterial stiffening in CKD.
- Arterial stiffening in CKD is a critical predictor of cardiovascular events and mortality.
Abstract:
Accelerated ageing is observed in patients with chronic kidney disease (CKD)/end-stage renal disease. Premature vascular aging and arterial stiffening are the most characteristic features of this "progeria" that is already observed in those with the early stages of CKD. Aortic stiffening is associated with high characteristic impedance, left ventricular hypertrophy, decreased coronary perfusion, and is a strong prognostic marker of mortality and cardiovascular morbidity. With aging, the arterial stiffening is more pronounced in the aorta and central arteries than in peripheral conduit arteries. This leads to progressive decrease and inversion of the arterial stiffness gradient and systemic reflection coefficient, leading to less protection of the microcirculation in the event of high-pressure transmission towards it Arterial stiffening is multifactorial with systemic microinflammation being one of the most important associated factors primarily associated with vascular calcifications.
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Chronic Kidney Disease I: Introduction
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Chronic Kidney Disease III: Interprofessional Care
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