The Cardiovascular Burden in End-Stage Renal Disease

Contrib Nephrol. 2017:191:44-57. doi: 10.1159/000479250. Epub 2017 Sep 14.

Abstract

It is well documented that chronic kidney disease patients have an extremely high risk of developing cardiovascular (CV) disease (CVD) compared to the general population. Declining renal function itself represents a continuum of CV risk, and in those individuals who survive to reach end-stage renal disease, the risk of suffering a cardiac event is uncomfortably and unacceptably high. Several pathophysiological pathways have been suggested to account for this, including endothelial dysfunction, dyslipidemia, inflammation, left ventricular hypertrophy, troponins, phosphate, vitamin D, fibroblast growth factor-23, and NT-proBNP. All these conditions and biomarkers may have clear associations with current and subsequent CVD.

Publication types

  • Review

MeSH terms

  • Biomarkers
  • Cardiovascular Diseases / etiology*
  • Humans
  • Kidney Failure, Chronic / complications*
  • Risk Factors

Substances

  • Biomarkers