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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Cardiovascular risk in chronic kidney disease: what is new in the pathogenesis and treatment?
Angelika Bazyluk1, Jolanta Malyszko1,2, Edyta Zbroch1
1a 2-nd Department of Nephrology and Hypertension with Dialysis Centre , Medical University of Białystok , Bialystok , Poland.
Insights
Chronic kidney disease (CKD) patients face high cardiovascular risks. Novel antidiabetic drugs may reduce this risk independently of blood sugar control, offering new hope for managing CKD complications.
Area of Science:
- Nephrology
- Cardiology
- Endocrinology
Background:
- Global prevalence of chronic kidney disease (CKD) is rising due to population aging.
- Cardiovascular (CV) morbidity and mortality remain high in CKD patients despite advancements.
- Diabetes mellitus is a leading cause of CKD, with projected increases in prevalence.
Purpose of the Study:
- To discuss the underlying causes of elevated cardiovascular risk in CKD patients.
- To explore strategies for reducing the cardiovascular burden in individuals with CKD.
- To review the role of novel antidiabetic drugs in mitigating CV risk.
Main Methods:
- Review of multicenter trial results concerning novel antidiabetic drugs.
- Analysis of factors contributing to high CV risk in the CKD population.
- Synthesis of current evidence on managing comorbidities in CKD.
Main Results:
- Efficacy of novel antidiabetic drugs in reducing CV risk appears independent of glycemic control.
- Diabetic nephropathy is a growing contributor to the overall CKD patient population.
- CKD progression and associated comorbidities can be slowed, though the condition is irreversible.
Conclusions:
- High cardiovascular risk is a critical issue in chronic kidney disease management.
- Novel therapeutic strategies, potentially independent of glycemic control, are crucial for reducing CV risk in CKD.
- Comprehensive management strategies are needed to slow kidney function decline and manage comorbidities in CKD patients.
Abstract:
The prevalence of chronic kidney disease (CKD) has increased markedly over past decades due to the aging of the worldwide population. Despite the progress in the prevention and treatment, the cardiovascular (CV) morbidity and mortality remain high among patients with CKD. Although CKD is a progressive and irreversible condition, it is possible to slow decreasing kidney function, as well as the development and progression of associated with kidney disease comorbidities. Diabetes mellitus has become major cause of CKD worldwide. It is estimated that the prevalence of diabetes will increase from 425 million worldwide in 2017 to 629 million by 2045, substantially the percentage of diabetic nephropathy among CKD patients is set to rise markedly. The results of multicenter trials concerning novel antidiabetic drugs suggest that efficacy in reducing CV risk is independent of the improvement in glycemic control. This review discusses underlying causes of high CV risk and strategies reducing individual burden among CKD patients.
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