Novel Cardiovascular Risk Factors in Patients with Diabetic Kidney Disease

Christodoula Kourtidou1, Maria Stangou2, Smaragdi Marinaki3

  • 1First Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA Hospital, 54636 Thessaloniki, Greece.

Insights

Patients with diabetic kidney disease (DKD) face high cardiovascular risks beyond diabetes. Emerging biomarkers like fibroblast growth factor-23 and copeptin show promise for better risk assessment and targeted treatments in DKD patients.

Area of Science:

  • Nephrology
  • Cardiology
  • Endocrinology

Background:

  • Diabetic kidney disease (DKD) significantly elevates cardiovascular disease (CVD) risk.
  • Traditional risk factors like diabetes mellitus (DM), hypertension, and obesity only partially explain this increased risk.
  • Identifying novel risk factors is crucial for DKD-CVD risk stratification and treatment development.

Purpose of the Study:

  • To review current knowledge on emerging cardiovascular risk markers in DKD patients.
  • To highlight biomarkers that consistently predict cardiovascular events in this population.
  • To inform potential integration of novel markers into clinical practice for improved patient management.

Main Methods:

  • Literature review of studies investigating novel cardiovascular risk markers in DKD.
  • Analysis of biomarker data related to cardiovascular event prediction in DKD cohorts.
  • Synthesis of evidence on the clinical utility of emerging biomarkers.

Main Results:

  • Fibroblast growth factor-23 (FGF-23) and copeptin are extensively studied and consistently predict cardiovascular events in DKD.
  • These biomarkers offer additional predictive value beyond traditional risk factors.
  • Evidence suggests their potential role in identifying high-risk DKD individuals.

Conclusions:

  • Emerging biomarkers, particularly FGF-23 and copeptin, are valuable in assessing cardiovascular risk in DKD.
  • Incorporating these markers into risk stratification strategies may improve patient outcomes.
  • Further research can validate their role in guiding aggressive cardiovascular risk management in DKD.

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