Cardiovascular-kidney-metabolic syndrome: A new frontier or simple rebranding?

Jennifer Manne-Goehler1,2, Willem Daniel Francois Venter3, Mohammed K Ali4,5

  • 1Division of Infectious Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.

Plos Medicine
|August 21, 2025
PubMed

Insights

The Cardiovascular-kidney-metabolic (CKM) syndrome framework aids patients with multiple heart, kidney, and metabolic conditions. Further research is needed to determine if CKM syndrome is a truly novel approach or a rebranding of existing clinical practices.

Area of Science:

  • Cardiology
  • Nephrology
  • Metabolic Medicine

Background:

  • Cardio-metabolic multimorbidity presents complex clinical challenges.
  • Existing management paradigms may not fully address interconnected CKM conditions.
  • The American Heart Association proposed the Cardiovascular-kidney-metabolic (CKM) syndrome framework.

Purpose of the Study:

  • To evaluate the novelty and clinical utility of the CKM syndrome framework.
  • To compare the CKM syndrome approach with existing management strategies.
  • To determine if CKM syndrome represents a significant advancement or a rebranding of established principles.

Main Methods:

  • Review of current literature on cardio-metabolic multimorbidity.
  • Analysis of the core tenets and proposed applications of the CKM syndrome framework.
  • Comparative assessment of CKM syndrome against established clinical guidelines.

Main Results:

  • The CKM syndrome framework integrates cardiovascular, kidney, and metabolic disease management.
  • Potential improvements in patient care and outcomes are suggested by the CKM framework.
  • The extent to which CKM syndrome offers a paradigm shift requires further investigation.

Conclusions:

  • The CKM syndrome framework offers a structured approach to managing complex cardio-metabolic conditions.
  • Its long-term impact and differentiation from prior approaches warrant continued clinical evaluation.
  • Clarifying the unique contributions of CKM syndrome is essential for its adoption and effective implementation.

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