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Implications of Kidney Disease in the Cardiac Patient

Johny Nicolas1, Bimmer Claessen1, Roxana Mehran1

  • 1The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1030, New York, NY 10029-6574, USA.

Interventional Cardiology Clinics
|May 31, 2020
PubMed

Insights

Cardiovascular and renal diseases frequently coexist, complicating treatment. This review covers recent advances in diagnosing and managing heart conditions in patients with impaired kidney function.

Area of Science:

  • Cardiology
  • Nephrology
  • Internal Medicine

Background:

  • Cardiovascular and renal diseases share common risk factors and pathophysiology.
  • Kidney disease is increasingly prevalent in cardiac patients, presenting atypically.
  • Renal impairment complicates cardiac treatment and worsens patient prognosis.

Purpose of the Study:

  • To review recent advancements in diagnosing and treating cardiac pathologies in patients with reduced kidney function.
  • To highlight the challenges and management strategies for cardiovascular diseases in the context of renal impairment.

Main Methods:

  • Literature review of recent studies on cardiovascular diseases in patients with chronic kidney disease.
  • Analysis of diagnostic and therapeutic strategies for coronary artery disease, arrhythmia, and heart failure.
  • Focus on management in patients with decreased renal function.

Main Results:

  • Patients with renal impairment exhibit atypical cardiac disease presentation and variable manifestations.
  • Therapeutic options for cardiac conditions are limited by renal impairment.
  • Close monitoring and meticulous treatment are crucial to prevent deterioration of both kidney and heart function.

Conclusions:

  • Effective management of cardiac conditions in patients with renal impairment requires a multidisciplinary approach.
  • Recent advances offer improved diagnostic and therapeutic options, but careful consideration of renal function is paramount.
  • Understanding the interplay between cardiovascular and renal diseases is essential for optimizing patient outcomes.

Keywords:
CKDCardiovascular diseaseChronic kidney diseaseChronic renal failureCoronary artery diseaseHeart failureRenal disease

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