Cardiovascular Disease Risk in Children With Kidney Disease

Semin Nephrol. 2018 May;38(3):298-313. doi: 10.1016/j.semnephrol.2018.02.009.

Abstract

Cardiovascular disease is a major cause of death in individuals diagnosed with kidney disease during childhood. Children with kidney disease often incur a significant cardiovascular burden that leads to increased risk for cardiovascular disease. Evidence has shown that children with kidney disease, including chronic kidney disease, dialysis, kidney transplantation, and nephrotic syndrome, develop abnormalities in cardiovascular markers such as hypertension, dyslipidemia, left ventricular hypertrophy, left ventricular dysfunction, atherosclerosis, and aortic stiffness. Early identification of modifiable risk factors and treatment may lead to a decrease of long-term cardiovascular morbidity and mortality, but evidence in this population is lacking.

Keywords: Left ventricular hypertrophy; cIMT; chronic kidney disease; dialysis; hypertension; kidney transplant; nephrotic syndrome; pediatric.

Publication types

  • Review

MeSH terms

  • Cardiovascular Diseases / etiology*
  • Carotid Intima-Media Thickness
  • Child
  • Dyslipidemias / complications
  • Endothelium / physiopathology
  • Humans
  • Hypertension / complications
  • Hypertrophy, Left Ventricular / diagnostic imaging
  • Hypertrophy, Left Ventricular / etiology
  • Kidney Transplantation / adverse effects*
  • Nephrotic Syndrome / complications
  • Nephrotic Syndrome / physiopathology
  • Renal Dialysis / adverse effects*
  • Renal Insufficiency, Chronic / complications*
  • Renal Insufficiency, Chronic / therapy*
  • Risk Factors