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Updated: Oct 16, 2025

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
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.
Abstract:
Patients with diabetic kidney disease (DKD) are at very high risk for cardiovascular events. Only part of this increased risk can be attributed to the presence of diabetes mellitus (DM) and to other DM-related comorbidities, including hypertension and obesity. The identification of novel risk factors that underpin the association between DKD and cardiovascular disease (CVD) is essential for risk stratification, for individualization of treatment and for identification of novel treatment targets.In the present review, we summarize the current knowledge regarding the role of emerging cardiovascular risk markers in patients with DKD. Among these biomarkers, fibroblast growth factor-23 and copeptin were studied more extensively and consistently predicted cardiovascular events in this population. Therefore, it might be useful to incorporate them in risk stratification strategies in patients with DKD to identify those who would possibly benefit from more aggressive management of cardiovascular risk factors.
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