Atherosclerotic Cardiovascular Disease in Cardiovascular-Kidney-Metabolic Syndrome

Alyssa M Sanchez1, Nikitha M Murthy1, Anastasia Shakhbazova1

  • 1Department of Medicine, Loma Linda University Health, 11234 Anderson Street, Room 1503, Loma Linda, CA 92354, USA.

Cardiology Clinics
|June 29, 2025
PubMed

Insights

Atherosclerotic cardiovascular disease (CVD) poses a global health burden. The American Heart Association

Area of Science:

  • Cardiovascular Medicine
  • Nephrology
  • Metabolic Health

Background:

  • Atherosclerotic cardiovascular disease (CVD) is a leading cause of global morbidity and mortality.
  • The American Heart Association introduced a novel framework integrating cardiovascular, kidney, and metabolic health.
  • This framework emphasizes the cumulative impact of risk enhancers on major cardiovascular events.

Purpose of the Study:

  • To introduce and explain the American Heart Association's cardiovascular kidney metabolic health framework.
  • To highlight the role of risk prediction models in early detection of CVD risk.
  • To discuss current therapeutic strategies targeting kidney and metabolic pathways for cardiovascular risk reduction.

Main Methods:

  • Review of the American Heart Association's cardiovascular kidney metabolic health framework.
  • Analysis of risk prediction models for CVD.
  • Examination of the current therapeutic landscape for atherosclerotic CVD.

Main Results:

  • The framework details a graded accumulation of risk enhancers leading to myocardial infarction, stroke, and peripheral arterial disease.
  • Risk prediction models facilitate earlier detection and intervention.
  • Therapeutic agents targeting kidney and metabolic pathways demonstrate benefits in reducing cardiovascular events.

Conclusions:

  • The cardiovascular kidney metabolic health framework provides a comprehensive approach to understanding CVD risk.
  • Early detection and risk reduction are crucial for managing atherosclerotic CVD.
  • Targeted therapies offer significant benefits for patients at risk of cardiovascular events.

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