[Cardiovascular treatment in chronic kidney disease]

Vincent Brandenburg1, Turgay Saritas2, Stephan H Schirmer3

  • 1Klinik für Kardiologie und Nephrologie, Rhein-Maas Klinikum GmbH, 52146, Würselen, Deutschland. Vincent.Brandenburg@rheinmaasklinikum.de.

Herz
|September 11, 2023
PubMed

Insights

Treating patients with both heart and kidney disease is complex due to higher risks. This review covers key treatment considerations for these cardiorenal patients, addressing guideline gaps and medication limitations.

Area of Science:

  • Cardiorenal medicine
  • Clinical practice guidelines
  • Pharmacotherapy

Background:

  • Combined cardiac and renal diseases present significant clinical challenges with high morbidity and mortality risks.
  • Cardiorenal patients are often underrepresented in clinical trials, leading to weaker treatment guidelines.
  • Kidney function impacts medication approval and choice, complicating treatment strategies.

Approach:

  • This review synthesizes current knowledge on managing cardiorenal conditions.
  • It focuses on critical treatment areas influenced by coexisting chronic kidney disease.
  • The review highlights challenges in evidence-based recommendations for this patient population.

Key Points:

  • Treatment decisions for cardiorenal patients require careful consideration of kidney function.
  • Guideline recommendations may be less robust for cardiorenal patients compared to those with isolated cardiac disease.
  • Medication choices are often restricted or require dose adjustments based on renal impairment.

Conclusions:

  • Effective management of cardiorenal disease necessitates a multidisciplinary approach.
  • Further research is needed to strengthen evidence-based guidelines for cardiorenal patients.
  • Optimizing treatment requires a nuanced understanding of drug interactions and renal function.

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